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Shannon L Gilliam

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NPI Number Detailed Information

Provider Information:

Name: Shannon L Gilliam
Gender: F
Provider License Number If Given: C0003161

NPI Information:

NPI: 1972548584
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/18/2006

Last Update Date: 2/24/2020

Provider Business Mailing Address:

Address: 37855 WATERLOO RD
Coltons Point, MD 20626
Phone Number: 5712152155
Fax Number:

Provider Business Practice Location Address:

Address: 12070 OLD LINE CTR STE 303
Waldorf, MD 20602
Phone Number: 3018932505
Fax Number:

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: MD

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About Shannon L Gilliam

Shannon L Gilliam ( SHANNON L GILLIAM ) is Definition Physician Assistant Physician in Waldorf, MD. The NPI Number for Shannon L Gilliam is 1972548584.
The current location address for Shannon L Gilliam is 12070 OLD LINE CTR STE 303 Waldorf, MD 20602 and the contact number is 5712152155 and fax number is . The mailing address for Shannon L Gilliam is 37855 WATERLOO RD Coltons Point, MD 20626- 3018932505 (mailing address contact number - 5712152155).
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FAQs:

What is the NPI Number for Shannon L Gilliam ?


Answer: The NPI Number for Shannon L Gilliam is 1972548584

Where is Shannon L Gilliam located?


Answer: Shannon L Gilliam is located at 12070 OLD LINE CTR STE 303 Waldorf, MD 20602.

What is the specialty for Shannon L Gilliam ?


Answer: The Specialty of Shannon L Gilliam is Definition Physician Assistant Physician.

Are there any online reviews for Shannon L Gilliam ?


Answer: Not yet!

Are there any other health care providers in Waldorf, MD?


Answer: Yes, there are given below...

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