Individual
DAVID GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 868-9209
Mailing address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 868-9209
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
053226
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199878
BLUE CROSS BLUE SHIELD
—
01
—
20NCCNR
MEDICARE
—
05
—
315294700A
—
GA
Enumeration date
06/05/2006
Last updated
04/11/2011
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