Organization · Type 2 NPI
Jai H.gilliam, M.d. , PLLC
Clinic/Center · Lexington, KY
NPI number
1245488964
Active
Practice location
1782 Bryan Station Rd
Lexington, KY 40505-2133
Fax (859) 294-0078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 39604 (KY) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1245488964
Jai H.gilliam, M.d. , PLLC's National Provider Identifier is 1245488964, issued on Sep 5, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lexington, KY. The record was last updated on Sep 5, 2008.