JEDEDIAH A GILLIAM

JOHNSON CITY, TN
NPI1841873718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  29204)
Enumeration Date2021-04-29
Last Update Date2022-11-08
Business Address
Mr. JEDEDIAH A GILLIAM FNP-BC
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
Mailing Address
Mr. JEDEDIAH A GILLIAM FNP-BC
216 TIMBERLAND CIR
KINGSPORT, TN 37664-5359
Phone number: 423-677-5824
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