LARRY AUSTIN GILLIAM

CLEVELAND, TN
NPI1699774216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  24516)
Enumeration Date2005-07-15
Last Update Date2007-07-08
Business Address
-- LARRY AUSTIN GILLIAM MD
65 MOUSE CREEK RD NW
CLEVELAND, TN 37312-4840
Phone number: 423-472-9944
Mailing Address
-- LARRY AUSTIN GILLIAM MD
81 LAKESHORE LN
CHATTANOOGA, TN 37415-7020
Phone number: 423-667-5972
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