| Abigail Gilliam, DPT | |
|
2 Mashburn St, Hawkinsville, GA 31036-4961 | |
| (478) 783-4460 | |
| Not Available |
| Full Name | Abigail Gilliam |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2 Mashburn St, Hawkinsville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740963453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT016754 (Georgia) | Primary |
| Provider Name | Houston Orthopedic Surgery & Sports Medicine, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205866605 PECOS PAC ID: 5092703835 Enrollment ID: O20040503000329 |
| Provider Name | Evans Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093715773 PECOS PAC ID: 2769467034 Enrollment ID: O20060119000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Gilliam, DPT 415 Town Park Blvd, Evans, GA 30809-3487 Ph: () - | Abigail Gilliam, DPT 2 Mashburn St, Hawkinsville, GA 31036-4961 Ph: (478) 783-4460 |
Elite Sport & Spine Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Mashburn St Ste 102, Hawkinsville, GA 31036 Phone: 478-292-7865 Fax: 478-783-4466 | |
Kyle Thompson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Mashburn St Ste 102, Hawkinsville, GA 31036 Phone: 478-783-4460 Fax: 478-783-4466 |