Dr. Samuel Nixon Gillespie
Dermatologist Family Doctor Family Doctor - Adult Medicine Family Doctor - Sports Medicine and 2 more
94 Medical Cir
Moulton
, Alabama 35650-1256
Dr. Samuel Nixon Gillespie
Dermatologist Family Doctor Family Doctor - Adult Medicine Family Doctor - Sports Medicine and 2 more
94 Medical Cir
Moulton
, Alabama 35650-1256
(256) 974-8211
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About
Features
Specialties
- Dermatologist
- Family Doctor
- Family Doctor - Adult Medicine
- Family Doctor - Geriatric Medicine
- Family Doctor - Sports Medicine
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Samuel Nixon Gillespie
- 94 Medical Cir
- Moulton, AL
- Zip : 35650-1256
- Fax : (256) 974-8211
- Phone : (256) 974-9216
Second Address
- Dr. Samuel Nixon Gillespie
- 94 Medical Cir
- Moulton, AL
- Zip : 35650-1256
- Fax : (256) 974-8211
- Phone : (256) 974-9216
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FAQs
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Is Dr. Samuel Nixon Gillespie a sole practitioner?
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Does Dr. Samuel Nixon Gillespie have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 12662 | AL |
| Y | 207Q00000X | Family Doctor | 12662 | AL |
| N | 207QA0505X | Family Doctor - Adult Medicine | 12662 | AL |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 12662 | AL |
| N | 207QS0010X | Family Doctor - Sports Medicine | 12662 | AL |
| N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 12662 | AL |
National Provider Identifier
| NPI | 1184612095 |
|---|---|
| Provider Name | Dr. Samuel Nixon Gillespie |
| First Address | Moulton, AL 35650-1256 |
| Second Address | Moulton, AL 35650-1256 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 25/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00012662 | CDS (01) | AL |
| 01D0302603 | CLIA (01) | AL |
| 12662 | MEDICAL LICENSE (01) | AL |
| 529402270 | (05) | AL |
| BG0454784 | DEA (01) | AL |
| C72273 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.