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Contact Information

JACKIE L GILLIARD, MD
2225 E DEFENSE HIGHWAY
CROFTON, MD21114
 Phone: 410-721-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JACKIE L GILLIARD · (Male)

NPI Number 1134139645
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0035935
  • MD Medicaid 208511900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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