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1699774216
LARRY AUSTIN GILLIAM
CLEVELAND, TN
NPI
1699774216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 24516)
Enumeration Date
2005-07-15
Last Update Date
2007-07-08
Business Address
-- LARRY AUSTIN GILLIAM MD
65 MOUSE CREEK RD NW
CLEVELAND, TN 37312-4840
Phone number: 423-472-9944
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Mailing Address
-- LARRY AUSTIN GILLIAM MD
81 LAKESHORE LN
CHATTANOOGA, TN 37415-7020
Phone number: 423-667-5972
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