Mr Earnest Edward Gilliam Jr, APN | |
1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | |
(870) 816-3780 | |
(901) 261-2542 |
Full Name | Mr Earnest Edward Gilliam Jr |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1801 Martin Luther King Jr Dr, Helena, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841268737 | NPI | - | NPPES |
11376597 | Other | AR | CAQH |
1841268737 | Other | AR | BAPTIST HEALTH SERVICES GROUP, INC. |
1841268737 | Other | AR | ARKANSAS BLUE CROSS BLUE SHIELD |
1841268737 | Other | AR | CIGNA |
1841268737 | Other | AR | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APN0000009307 (Tennessee) | Primary |
Entity Name | Gastroenterology Center Of The Midsouth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753 |
Mailing Address | Practice Location Address |
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Mr Earnest Edward Gilliam Jr, APN Po Box 771522, Memphis, TN 38177-1522 Ph: (901) 747-4624 | Mr Earnest Edward Gilliam Jr, APN 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 Ph: (870) 816-3780 |
Arthur Houston Burns, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-816-3780 Fax: 870-816-3909 | |
Scott C Gentry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-338-5800 |