Individual
MS. GRACE LIEM GALLOWAY
Active
Individual
MS. GRACE LIEM GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PHD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
201922
NC
363LC1500X
Community Health Nurse Practitioner
201922
NC
363LF0000X
Family Nurse Practitioner
Primary
201922
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005175
—
NC
Enumeration date
05/25/2007
Last updated
11/27/2023
Update your record
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