NPI 1306162813

Gregory Dwight Gilliam

Practitioner Paramedic Fort Rucker, AL

Practice location

Address: 301 Andrews Ave. Lyster Army Health Clinic, Fort Rucker, AL 36362
Phone: (334) 255-7387
Mailing address: 196 Valley View Dr, Enterprise, AL 36330-8966

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 0200044 (AL)

Other Emergency Medical Technician, Paramedic providers in Alabama →

Registry record

NPI: 1306162813
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2010
Record last updated: 9 Apr 2010

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.