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Individual

MS. DOROTHY K GALLAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
1350 BOULEVARD SE, ATLANTA, GA 30315-3016
(404) 635-1300
(404) 635-1320
Mailing address
393 PATTERSON AVE SE, ATLANTA, GA 30316-1652
(404) 378-7698

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN058116 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00630649D
GA
Enumeration date
11/13/2006
Last updated
07/09/2007
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