IndividualActive
Gregory Gilliam
NPI 1306162813 · Paramedic · Fort Rucker, AL
Provider details
- NPI number
- 1306162813
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0200044 (AL)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
301 Andrews Ave.
Lyster Army Health Clinic
Fort Rucker, AL 36362
Phone: (334) 255-7387
Approximate (ZIP-level) locationGet directions
Mailing address
196 Valley View Dr
Enterprise, AL 36330-8966
Registry dates
- Enumerated
- 2010-04-09
- Last updated
- 2010-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.