SearchGeorgia376K00000X

Mamie Gilliard

NPI 1710393301 · on the registry since 2014 · sole proprietor

Practice

Address
3503 Osage Ct
Augusta, GA 30906
Phone
(706) 284-2441

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-03

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 Georgia