BLAKE HAMILTON GILLIAM

NPI: 1043845787 · Individual · Active

Primary Specialty

Nurse Practitioner

Practice Location

1230 SLAUGHTER RD STE C
MADISON, AL 35758-5901 Map ↗
Phone: 256-325-0955

All Specialties & Licenses

  • Nurse Practitioner Primary (license: 1-153719, AL)
  • Acute Care Nurse Practitioner — Acute Care (license: 1-153719, AL)
  • Gerontology Nurse Practitioner — Gerontology (license: 1-153719, AL)

NPI Registration

Enumerated: 2020-03-03

Last CMS Update: 2020-03-03