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Dr. Charles Arthur Gilliland IV, MD
Vascular & Interventional Radiology Physician in Stockbridge, Georgia
NPI 1558584086

Charles Arthur Gilliland IV is a Vascular & Interventional Radiology Physician based in Cartersville, GA and is specialized in Vascular & Interventional Radiology. Charles Arthur Gilliland IV practices in Stockbridge, GA and has the professional credentials of MD. The NPI Number for Charles Arthur Gilliland IV is 1558584086 and holds a License No. 72264 (Georgia).

The current practice location address for Charles Arthur Gilliland IV is 1133 Eagles Landing Pkwy, Stockbridge, GA and can be reached out via phone at 770-607-7339 and via fax at 678-905-7053. You can also correspond with Charles Arthur Gilliland IV through the mailing address at PO BOX 200096, CARTERSVILLE, GA - 30120-9002 (mailing address contact number: 770-607-7339).

Location: 1133 Eagles Landing Pkwy, Stockbridge, GA, 30120-9002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558584086
Provider Name
Charles Arthur Gilliland IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1133 Eagles Landing Pkwy, Stockbridge, GA, 30120-9002
Phone Number
770-607-7339
Fax Number
678-905-7053
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2011016762 01 MO LICENSE
institution
Provider Business Practice Location Address Details
Address
1133 Eagles Landing Pkwy
City
Stockbridge
State
Georgia
Zip
30281-5085
Phone Number
770-607-7339
Fax Number
678-905-7053
person
Provider Business Mailing Address Details
Address
1133 Eagles Landing Pkwy
City
Stockbridge
State
Georgia
Zip
30281-5085
Phone Number
770-607-7339
Fax Number
678-905-7053
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
72264 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
RADIOLOGY (Tennessee)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
72264 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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