SAMUEL ADDISON GULLEY

FORT CAMPBELL, KY
NPI1114718905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies363A00000X Physician Assistant
171000000X Military Health Care Provider
Enumeration Date2025-05-13
Last Update Date2025-05-13
Business Address
SAMUEL ADDISON GULLEY PA-S
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-956-0336
Mailing Address
SAMUEL ADDISON GULLEY PA-S
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: