Whalio Doctors

NPI 1053346130

Larry S Gilliam, MD

Practitioner Anesthesiology Physician Hattiesburg, MS

Practice location

Address
415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone
(601) 261-3606
Fax
(601) 579-5383

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 10665 (MS)

Registry record

NPI
1053346130
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2006
Record last updated
23 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.