Individual
EILEEN M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
307 MAIN ST SW, HANCEVILLE, AL 35077-5476
(256) 352-4767
(256) 352-4797
Mailing address
PO BOX 1108, CULLMAN, AL 35056-1108
(256) 737-2882
(256) 737-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO285
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000094174
—
AL
01
—
51094174
BLUE CROSS
AL
Enumeration date
10/03/2005
Last updated
07/16/2021
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