GREGORY DWIGHT GILLIAM
NPI 1306162813
Emergency Medical Technician, Paramedic in Fort Rucker, AL

Active since April 09, 2010
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362(334) 255-7387 Get Directions Write a Review

NPPES record last updated: April 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Dwight Gilliam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY DWIGHT GILLIAM (NPI 1306162813) is an individual emergency medical technician, paramedic in Fort Rucker, Alabama, licensed in Alabama (0200044) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1306162813
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameGREGORY DWIGHT GILLIAM
Location Address301 ANDREWS AVE., LYSTER ARMY HEALTH CLINICFort Rucker, AL 36362
Mailing Address196 Valley View DrEnterprise, AL 36330-8966 · (256) 244-2010
Sole ProprietorYes
Enumeration DateApril 9, 2010
NPI 1306162813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License Licensed in AL · 0200044
Definition

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

301 ANDREWS AVE., Fort Rucker, AL 36362

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Aerospace Medicine)
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Audiologist
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Chiropractor
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, CHIROPRACTIC CLINIC
FT. RUCKER, AL 36362
Family Medicine
301 ANDREWS AVE.
FT. RUCKER, AL 36362
Registered Nurse (Ambulatory Care)
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Licensed Practical Nurse
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Nurse's Aide
301 ANDREWS AVE.
FT. RUCKER, AL 36362
Pharmacist
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306162813, enumerated as an "individual" on April 09, 2010.

The provider is located at 301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362 and the phone number is (334) 255-7387.

Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.