Individual provider · Type 1 NPI

Gregory Dwight Gilliam

Paramedic · Fort Rucker, AL

NPI number 1306162813 Active

Practice location

301 Andrews Ave., Lyster Army Health Clinic
Fort Rucker, AL 36362

Call (334) 255-7387 Map

Mailing address

196 Valley View Dr
Enterprise, AL 36330-8966

Specialties and licenses

TaxonomyCodeLicense
Paramedic Primary 146L00000X0200044 (AL)

Paramedic: An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

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About NPI 1306162813

Gregory Dwight Gilliam's National Provider Identifier is 1306162813, issued on Apr 9, 2010. The primary taxonomy on file is Paramedic (146L00000X), and the practice location is in Fort Rucker, AL. The record was last updated on Apr 9, 2010.