Individual
JOSHUA TRAY LEE MCGALLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
297027
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5016468
NC
Other
Enumeration date
05/08/2022
Last updated
08/22/2025
Update your record
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