Individual
TANYA GALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 ROYAL REGENCY CIR NW, KENNESAW, GA 30144-6476
(678) 668-9603
Mailing address
4155 ROYAL REGENCY CIR NW, KENNESAW, GA 30144-6476
(678) 668-9603
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
051389334
GA
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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