NPI 1225050198
Elaine Gilliam, MNT
Practice location
- Address
- 5230 E Stop 11 Rd Suite 150, Indianapolis, IN 46237-6339
- Phone
- (317) 865-5904
- Fax
- (317) 865-5321
- Mailing address
- PO Box 664056, Indianapolis, IN 46266-4056
Registered specialties
Registered Dietetic Technician
Primary
Registry record
- NPI
- 1225050198
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jul 2006
- Record last updated
- 22 Feb 2013
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.