Individual
DOUGLAS GAILLARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
4129 ELIZABETH DR, MOUNT JULIET, TN 37122-4132
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
266
TN
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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