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Individual

DR. VINCENT GALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1365 ROCK QUARRY RD STE 202, STOCKBRIDGE, GA 30281-5023
(770) 771-6580
(770) 771-6589
Mailing address
1365 ROCK QUARRY RD STE 202, STOCKBRIDGE, GA 30281-5023
(770) 771-6580

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28685
GA
208VP0000X
Pain Medicine Physician
Primary
28685
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00371291B
GA
01
050030318
RAILROAD MEDICARE
GA
Enumeration date
10/28/2005
Last updated
02/01/2023
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