Individual
RICHARD J GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5909 US HIGHWAY 49, SUITE 30, HATTIESBURG, MS 39401
(601) 296-2780
(601) 296-2781
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2780
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14592
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115186
—
MS
01
—
640507572AK
AMERICAN ADMIN GROUP
MS
Enumeration date
08/09/2006
Last updated
08/03/2020
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