Individual
MARY GADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 HARDING PIKE, NASHVILLE, TN 37205-2005
(615) 222-6977
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60892
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
07/09/2020
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