Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK DWAYNE GILLIAM, PA-C
ActiveMR. FREDERICK DWAYNE GILLIAM, PA-C is a Surgical Physician Assistant healthcare provider located in VISALIA, California. NPI 1871963942 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · VISALIA, CA
Registration Details
- NPI Number
- 1871963942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2015 (10.894494855914 yrs)
- Last Updated
- Jan 6, 2025
- Licenses
-
52887 (CA)52887 (CA)
Practice Information
- Address
-
820 S AKERS ST STE 120VISALIA, CA, 932778306Browse CA providers · Browse ZIP 93277
- Phone
- 5596254118
- Fax
- 5596256004
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in VISALIA, CA
| Name | Credential | NPI |
|---|---|---|
| SCOTT C WASEM I | P.A.-C | 1699838615 |
| MELISSA ROSE SAKOWSKI | PA-C | 1861980591 |
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.