Individual
RICHARD GRANT GALLAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 722-2057
(423) 542-5109
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 431-0512
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007996
—
TN
Enumeration date
08/01/2005
Last updated
11/05/2015
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