Individual
DR. MANOLO GALLEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036745
GA
207RN0300X
Nephrology Physician
Primary
036745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000691182AB
—
GA
05
—
00691182E
—
GA
05
—
00691182F
—
GA
Enumeration date
09/30/2005
Last updated
03/22/2012
Update your record
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