| Dr Jackie L Gilliard, MD | |
| 2225 E Defense Highway, Crofton, MD 21114 | |
| (410) 721-2273 | |
| Not Available | 
| Full Name | Dr Jackie L Gilliard | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 2225 E Defense Highway, Crofton, Maryland | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134139645 | NPI | - | NPPES | 
| 208511900 | Medicaid | MD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | D0035935 (Maryland) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jackie L Gilliard, MD Po Box 6429, Annapolis, MD 21401-0429 Ph: () - | Dr Jackie L Gilliard, MD 2225 E Defense Highway, Crofton, MD 21114 Ph: (410) 721-2273 | 
| Dr. Farhad Aliabadi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2225 Defense Hwy Ste E, Crofton, MD 21114 Phone: 410-721-2273 Fax: 443-332-4265 | |
| Dr. Craytonia L. Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2225 E Defense Highway, Crofton, MD 21114 Phone: 410-721-2273 |