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Organization

GRACE GALLOWAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE LIEM GALLOWAY PHD (MANAGER)
(980) 322-5447
Entity
Organization

Contact information

Practice address
1781B S MAIN ST, LAURINBURG, NC 28352-5407
(910) 506-4018
(980) 294-1398
Mailing address
217 PALASIDE DR NE, CONCORD, NC 28025-3029
(980) 322-5447
(980) 294-1398

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
12/12/2023
Last updated
01/19/2024
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