Individual
MR. GARY G. GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 S HARTMANN DR STE 110, LEBANON, TN 37090-4137
(615) 994-4110
(615) 994-4113
Mailing address
920 S HARTMANN DR STE 110, LEBANON, TN 37090-4137
(615) 994-4110
(615) 994-4113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14510
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3004673
MEDICARE NUMBER
TN
Enumeration date
08/07/2006
Last updated
08/11/2020
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