Individual
JERRY E GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 OVERLAND DR, GREENWOOD, SC 29646-4069
(864) 943-2010
(864) 323-0345
Mailing address
PO BOX 49847, GREENWOOD, SC 29649-0015
(864) 943-2010
(864) 323-0345
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10472
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104728
—
SC
01
—
180046373
RAILROAD MEDICARE NUMBER
SC
05
—
GP4102
—
SC
Enumeration date
07/18/2005
Last updated
01/25/2011
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