| Leah B. Gilliam, Md. | |
|
83 S Main St Lexington TN 38351-2109 | |
| (731) 614-7957 | |
| Not Available |
| Full Name | Leah B. Gilliam, Md. |
|---|---|
| Speciality | Family Medicine |
| Location | 83 S Main St, Lexington, Tennessee |
| Authorized Official Name and Position | Leah Gilliam (PHYSICIAN) |
| Authorized Official Contact | 7316147957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah B. Gilliam, Md. 83 S Main St Lexington TN 38351-2109 Ph: () - | Leah B. Gilliam, Md. 83 S Main St Lexington TN 38351-2109 Ph: (731) 614-7957 |
| NPI Number | 1215411624 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 0244574226 |
|---|---|
| Medicare Enrollment ID | O20181201000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215411624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leah B Gilliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891037875 PECOS PAC ID: 1951540368 Enrollment ID: I20160113002065 |
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