Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAKE HAMILTON GILLIAM
Active Sole ProprietorMR. BLAKE HAMILTON GILLIAM is a Nurse Practitioner healthcare provider located in MADISON, Alabama. NPI 1043845787 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MADISON, AL
Registration Details
- NPI Number
- 1043845787
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2020 (6.4160757677542 yrs)
- Last Updated
- Mar 3, 2020
- Licenses
-
1-153719 (AL)1-153719 (AL)1-153719 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1230 SLAUGHTER RD STE CMADISON, AL, 357585901Browse AL providers · Browse ZIP 35758
- Phone
- 2563250955
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Acute Care Nurse Practitioner
Other Nurse Practitioner Providers in MADISON, AL
| Name | Credential | NPI |
|---|---|---|
| LESLIE HOGAN | CRNP | 1235557885 |
| KRISTY LEANNE WILLIAMS | CRNP | 1447798616 |
| MEREDITH MOSS GALLAWAY | — | 1861990939 |
| ALICIA RAY BASHKIHARATEE BOYD | CRNP | 1831692664 |
| XIAOYUAN ZHU MAULDIN | XIAOYUAN | 1912493784 |
| MS. SCHONNA MARIA ETHERIDGE | CRNP | 1588147946 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.