Scott R Gillum, PA
NPI #1114003076 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1114003076
- Entity Type
- Individual
- Name
- Scott R Gillum, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Jul 14, 2021
Practice Location
- Address
- 7925 YOUREE DR
- Address 2
- SUITE 200
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5127
- Phone
- (318) 212-3610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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