Individual
MRS. SHAJUAN MONTRELL GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6156 SOUTHLAND TRCE, STONE MOUNTAIN, GA 30087-4978
(678) 524-9745
Mailing address
6156 SOUTHLAND TRCE, STONE MOUNTAIN, GA 30087-4978
(678) 524-9745
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
137806
GA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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