Individual
MARY ALICE GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2061 EXPERIMENT STATION RD, WATKINSVILLE, GA 30677
(706) 310-0324
Mailing address
2061 EXPERIMENT STATION RD, WATKINSVILLE, GA 30677-5328
(706) 310-0324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
08/07/2018
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