Individual
LAURA GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 INGLES DR, INMAN, SC 29349
(864) 342-4090
Mailing address
PO BOX 20, MEMPHIS, TN 38101-0020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
89612
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/30/2023
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