Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED EMERSON GILLIARD, M.D.
Active Sole ProprietorDR. FRED EMERSON GILLIARD, M.D. is a Adolescent Medicine healthcare provider located in EVANS, Georgia. NPI 1629407838 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · EVANS, GA
Registration Details
- NPI Number
- 1629407838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2013 (12.786885581715 yrs)
- Last Updated
- Dec 31, 2013
- License
-
12468 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
854 SPARKLEBERRY RDEVANS, GA, 308094431Browse GA providers · Browse ZIP 30809
- Phone
- 7063069397
- Fax
- 7066509529
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.