Stephanie Suzanne Gillam, PT, DPT is a
Physical Therapist based in Lyman, South Carolina. Stephanie Suzanne Gillam is licensed to practice in South Carolina (license number 6278PT) and her current practice location is
411 Birchbark Ln, Lyman, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(585) 747-4704.
NPI number for Stephanie Suzanne Gillam is 1922313261 and her current mailing address is 411 Birchbark Ln, Lyman, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922313261.
Healthcare Provider's Profile
Full Name | Stephanie Suzanne Gillam |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 411 Birchbark Ln, Lyman, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922313261
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 03/18/2013
Medical Identifiers
Medical identifiers for Stephanie Suzanne Gillam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922313261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 032914-1 (New York) | Secondary |
225100000X | Physical Therapist | 6278PT (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Suzanne Gillam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Suzanne Gillam, PT, DPT 411 Birchbark Ln, Lyman, SC 29365-1356 Ph: () - | Stephanie Suzanne Gillam, PT, DPT 411 Birchbark Ln, Lyman, SC 29365-1356 Ph: (585) 747-4704 |
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