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Individual

JAMIE LYNN GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, NP-C

Contact information

Practice address
1105 BURLEYSON RD, DALTON, GA 30720-3181
(706) 278-4640
Mailing address
1105 BURLEYSON RD, DALTON, GA 30720-3181
(706) 278-4640

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F0714906
WY
367A00000X
Advanced Practice Midwife
Primary
225896
GA
367A00000X
Advanced Practice Midwife
WY

Other

Enumeration date
08/11/2014
Last updated
09/09/2020
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