Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT R GILLUM, PA
ActiveSCOTT R GILLUM, PA is a Surgical Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1114003076 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1114003076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.74470229414 yrs)
- Last Updated
- Jul 14, 2021
- License
-
PA200106 (LA)
Practice Information
- Address
-
7925 YOUREE DRSUITE 200SHREVEPORT, LA, 711055127Browse LA providers · Browse ZIP 71105
- Phone
- 3182123610
- Fax
- 3182123672
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| CHARLES GIRARD TISDALE | PA-C | 1821096686 |
| SHERRY B WALKER | PA | 1669442133 |
| PAUL BRYANT MCHALFFEY | PA-C | 1720041312 |
| STAFFORD R LONG | PA-C | 1851343396 |
| MARY EMILY MAY | — | 1528082781 |
| MS. MARIBETH FORREST | P.A.-C | 1235220708 |
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.