Timothy W Gilliam, PA-C is a medical physician assistant in Watertown, NY with 2 years of experience. Timothy W Gilliam, PA-C NPI is 1265182810. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1571 WASHINGTON STREET
SUITE 201
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-1650
Fax: (315) 788-8547
The NPI 1265182810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/26/2022 and was last updated on 6/23/2023.