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Individual

DR. TOM TRACEY GALLAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7560 DANNAHER DR STE 150, POWELL, TN 37849-4038
(865) 671-3888
(865) 671-4911
Mailing address
7560 DANNAHER DR STE 150, POWELL, TN 37849-4038
(865) 671-3888
(865) 671-4911

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD35852
TN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35852
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3000222
TN
Enumeration date
09/15/2005
Last updated
08/17/2023
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