Gillum, Codey

Gillum, Codey is an sole proprietor health care provider with primary practice located at 125 Parker Hill Ave , Roxbury Crossing MA 02120-2847. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gillum, Codey can be contacted via phone (617) 754-5000.

Contact Information

Primary practice address
125 Parker Hill Ave Roxbury Crossing MA 02120-2847
Phone: (617) 754-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA5223 Massachusetts

Profile Details

NPI number 1023416781
LBN Legal business name Gillum, Codey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2014
Last updated Dec 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers