Individual
DR. MARY A GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1640 FLOSSIE DR, GREENDALE, IN 47025-8424
(812) 496-3290
(812) 537-0400
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 647-2900
(859) 647-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068261
IN
207Q00000X
Family Medicine Physician
49724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118785
—
OH
05
—
201141320
—
IN
Enumeration date
06/13/2007
Last updated
03/09/2021
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