SearchNorth Carolina225700000X

Maya Gilliam, NC#11053

NPI 1578827382 · on the registry since 2012

Practice

Address
707 N Main St
Winston Salem, NC 27101
Phone
(336) 793-2991
Fax
(866) 440-0711

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-26

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 North Carolina