Gilliam, David Brandon

Gilliam, David Brandon is an individual health care provider with primary practice located at 3810 Central Pike Suite 102, Hermitage TN 37076-3494. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gilliam, David Brandon can be contacted via phone (615) 915-5000.

Contact Information

Primary practice address
3810 Central Pike Suite 102 Hermitage TN 37076-3494
Phone: (615) 915-5000
Fax: (615) 915-5002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0000007423 Tennessee

Profile Details

NPI number 1487733275
LBN Legal business name Gilliam, David Brandon
Credentials PTDPTATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated May 28th, 2014 - about 10 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 1487733275 NPPES
Tennessee Other 4134236 BLUE CROSS BLUE SHIELD

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