Codey Gillum, PA-C
NPI #1023416781 in Roxbury Crossing, Massachusetts
Provider Information
- NPI Number
- 1023416781
- Entity Type
- Individual
- Name
- Codey Gillum, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Dec 11, 2014
- Last Updated
- Dec 11, 2014
Practice Location
- Address
- 125 PARKER HILL AVE
- City
- Roxbury Crossing
- State
- Massachusetts
- ZIP Code
- 02120-2847
- Phone
- (617) 754-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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