Gilliam, Karen Annette
Gilliam, Karen Annette is an individual health care provider with primary practice located at 50 Miller St Ste G , Winston Salem NC 27104-4206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gilliam, Karen Annette can be contacted via phone (336) 718-1000.Contact Information
Primary practice address
50 Miller St Ste G
Winston Salem NC 27104-4206
Phone: (336) 718-1000
Fax: (336) 718-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 01386 | North Carolina |
Profile Details
| NPI number | 1205807302 |
|---|---|
| LBN Legal business name | Gilliam, Karen Annette |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jan 16th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205807302 | NPPES |
| North Carolina | MEDICAID | 7005444 |
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