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Todd L Gilliam
Family Nurse Practitioner in Rutherfordton, North Carolina
NPI 1326657883

Todd L Gilliam is a Family Nurse Practitioner based in Forest City, NC and is specialized in Family. Todd L Gilliam practices in Rutherfordton, NC. The NPI Number for Todd L Gilliam is 1326657883 and holds a License No. 5013402 (North Carolina).

The current practice location address for Todd L Gilliam is 288 S Ridgecrest Ave, Rutherfordton, NC and can be reached out via phone at 828-286-5000.

Location: 288 S Ridgecrest Ave, Rutherfordton, NC, 28043-3766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326657883
Provider Name
Todd L Gilliam
Credential
Provider Entity Type
Individual
Gender
Male
Address
288 S Ridgecrest Ave, Rutherfordton, NC, 28043-3766
Phone Number
828-286-5000
Fax Number
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
288 S Ridgecrest Ave
City
Rutherfordton
State
North Carolina
Zip
28139-2838
Phone Number
828-286-5000
Fax Number
person
Provider Business Mailing Address Details
Address
288 S Ridgecrest Ave
City
Rutherfordton
State
North Carolina
Zip
28139-2838
Phone Number
828-286-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5013402 (North Carolina)
Definition
Definition to come...
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