Individual
MRS. ISABELLA ANDREA VALLENILLA GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
124 PROFESSIONAL PARK DR STE A, CONWAY, SC 29526-9260
(843) 347-7111
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
89654
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896542
—
SC
Enumeration date
06/03/2020
Last updated
03/12/2026
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