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NPI Code Detail

MEDICARE: EMMA GRACE GILLHAM M.S. CCC-SLP

MEDICARE: EMMA GRACE GILLHAM M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist9473SC

General Provider Information

NPI Number : 1477482958
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA GRACE GILLHAM M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1867 SAVAGE RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-4726
Country : US
Telephone Number : 888-510-6369
Fax Number : 888-510-9156
Provider Business Practice Location Address
First Line : 1867 SAVAGE RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-4726
Country : US
Telephone Number : 888-510-6369
Fax Number : 888-510-9156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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