Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODEY GILLUM, PA-C
Active Sole ProprietorCODEY GILLUM, PA-C is a Surgical Physician Assistant healthcare provider located in ROXBURY CROSSING, Massachusetts. NPI 1023416781 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ROXBURY CROSSING, MA
Registration Details
- NPI Number
- 1023416781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2014 (11.717097187385 yrs)
- Last Updated
- Dec 11, 2014
- License
-
PA5223 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 PARKER HILL AVEROXBURY CROSSING, MA, 021202847Browse MA providers · Browse ZIP 02120
- Phone
- 6177545000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ROXBURY CROSSING, MA
| Name | Credential | NPI |
|---|---|---|
| REBECCA P SCHNEIDERMAN | PA | 1790877298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.