Individual
JACOB GALLAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 524-1869
Mailing address
110 BRENTWAY CIR APT 161, KNOXVILLE, TN 37909-1343
(865) 789-1336
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4492
TN
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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