Individual provider · Type 1 NPI

Chad Jamison Gilliam, MMS, PA-C

Medical Physician Assistant · Madison, AL

NPI number 1699001735 Active

Practice location

1230 Slaughter Rd Ste C
Madison, AL 35758-5901

Fax (256) 830-5751

Mailing address

PO Box 663
Madison, AL 35758-0663

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1699001735

Chad Jamison Gilliam, MMS, PA-C's National Provider Identifier is 1699001735, issued on Oct 24, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, AL. The record was last updated on Oct 24, 2009.