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Individual

STEPHANIE MCLAIN GALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3700 N FRONTAGE RD, COLUMBUS, MS 39701-8408
(662) 240-9999
(662) 241-5451
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
825609
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00119235
MS
01
562251777
BLUE CROSS
MS
Enumeration date
06/16/2006
Last updated
07/23/2025
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