Blake Gilliam

NPI 1043845787 · on the registry since 2020 · sole proprietor

Practice

Address: 1230 Slaughter Rd Ste C
Madison, AL 35758
Phone: (256) 325-0955
Organisation at this address: Hopewell Llc
Advent Health Llc
Shield Medical Llc
Health Concepts Group, Llc
Wellness Restoratives, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Gerontology Nurse Practitioner
Acute Care Nurse Practitioner
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama