Individual
MR. DANIEL BRADFORD GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2061 EXPERIMENT STATION RD STE 505, WATKINSVILLE, GA 30677-5327
(706) 310-0324
Mailing address
2061 EXPERIMENT STATION RD STE 505, WATKINSVILLE, GA 30677-5327
(706) 310-0324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11976
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2023
Last updated
06/25/2024
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