Organization
GALLIAN MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN LAPORTE (PRACTICE MANAGER)
(865) 258-9945
Entity
Organization
Contact information
Practice address
10744 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1407
(865) 258-9945
Mailing address
10744 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1407
(865) 258-9945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000017235
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000758
—
TN
Enumeration date
06/13/2016
Last updated
06/13/2016
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