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Individual

OVSANNA GALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(843) 390-8304
Mailing address
242 SEABERT RD, MYRTLE BEACH, SC 29579-3317
(843) 424-9109

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
24328
SC
363LF0000X
Family Nurse Practitioner
Primary
24328
SC

Other

Enumeration date
10/13/2020
Last updated
10/14/2020
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