Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON L GILLIAM, PA
ActiveSHANNON L GILLIAM, PA is a Medical Physician Assistant healthcare provider located in WALDORF, Maryland. NPI 1972548584 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WALDORF, MD
Registration Details
- NPI Number
- 1972548584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2006 (20.13291390342 yrs)
- Last Updated
- Feb 24, 2020
- License
-
C0003161 (MD)
Practice Information
- Address
-
12070 OLD LINE CTR STE 303WALDORF, MD, 206023535Browse MD providers · Browse ZIP 20602
- Phone
- 3018932505
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WALDORF, MD
| Name | Credential | NPI |
|---|---|---|
| MS. JENNIFER LYNN KNODE | PAC | 1245237684 |
| MRS. CHRISTINA LYN NEAL | PA-C | 1750320990 |
| MS. LILLIE MARQUE WALKER | PA-C | 1629147632 |
| DIONNE LUCAS | PA C | 1912056003 |
| JACQUELINE CLAIRE BRAGUNIER | PA-C | 1467595348 |
| MRS. CHINYERE NGOZI EZE | PA-C | 1003032855 |
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.