Individual
RUSSELL E GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N HIGHLAND AVE, MURFREESBORO, TN 37130-3837
(800) 596-3455
(615) 396-6963
Mailing address
1 VANTAGE WAY, SUITE B240, NASHVILLE, TN 37228-1515
(615) 329-4020
(615) 327-4403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045084
—
TN
01
—
3089718
STONES RIVER IPA
TN
01
—
4040142
BLUECROSS
TN
01
—
64028707
KY MEDICAID
KY
Enumeration date
06/27/2006
Last updated
06/10/2010
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