Gillespie, Samuel Nixon

Gillespie, Samuel Nixon is an individual health care provider with primary practice located at 94 Medical Cir , Moulton AL 35650-1256. He recently has 9 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gillespie, Samuel Nixon can be contacted via phone (256) 974-9216.

Contact Information

Primary practice address
94 Medical Cir Moulton AL 35650-1256
Phone: (256) 974-9216
Fax: (256) 974-8211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 12662 Alabama
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12662 Alabama
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 12662 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12662 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 12662 Alabama
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 12662 Alabama
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 12662 Alabama
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 12662 Alabama
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12662 Alabama

Profile Details

NPI number 1184612095
LBN Legal business name Gillespie, Samuel Nixon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184612095 NPPES
Alabama Other 12662 MEDICAL LICENSE
Alabama Other 00012662 MEDICAL LICENSE
Alabama Other 01D0302603 MEDICAL LICENSE
Alabama MEDICAID 529402270 MEDICAL LICENSE

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