Individual
JONATHAN BENNETT GALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2605
Mailing address
5 ANNA KATE WAY, PHENIX CITY, AL 36869-3225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
06/12/2025
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