Individual
MR. EDUARDO GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1102 W WAUGH ST, DALTON, GA 30720-8769
(706) 277-2321
(706) 428-2812
Mailing address
9511 WEIDNER LN, OOLTEWAH, TN 37363-4874
(956) 640-5204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN229452
GA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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