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Individual

MS. GRACE LIEM GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, PHD

Contact information

Practice address
1781B S MAIN ST, LAURINBURG, NC 28352-5407
(980) 322-5447
Mailing address
1781B S MAIN ST, LAURINBURG, NC 28352-5407
(980) 322-5447

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
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