Antonio Gilliam
Antonio Gilliam is a Personal Care Attendant in Beckley, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
104 Rice StBeckley, WV 25801-6524
Phone: (304) 640-8209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1013516921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 21, 2020 |
| Last updated in NPPES | January 10, 2023 |
| Certification date | January 10, 2023 |
| Mailing address | 104 Rice St, Beckley, WV 25801-6524 |
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