DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES ARTHUR GILLILAND IV, M.D.

Active Sole Proprietor

DR. CHARLES ARTHUR GILLILAND IV, M.D. is a Therapeutic Radiology healthcare provider located in STOCKBRIDGE, Georgia. NPI 1558584086 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · STOCKBRIDGE, GA

Registration Details

NPI Number
1558584086
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2007 (19.157907783043 yrs)
Last Updated
Mar 7, 2023
Licenses
72264 (GA)
RADIOLOGY (TN)
72264 (GA)
Sole Proprietor
Yes

Practice Information

Address
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA, 302815085
Browse GA providers · Browse ZIP 30281
Phone
7706077339
Fax
6789057053
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Providers in STOCKBRIDGE, GA

Name Credential NPI
DR. DAVID WILLIAM ALLISON M.D. 1386869535
DR. DAVID ROSS PENN M.D. 1760644355
SACHIN SHETH MD 1730341710
NEMIL SHAH M.D. 1093102915
AYMAN ABUNIMER MD 1861951733
DANIEL SLONE MD 1275093031
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.