Individual
COLIN LEE GALLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
25 DOCTORS DR., MEDICAL PLAZA 2, PANAMA CITY, FL 32405-4520
(850) 767-2455
(850) 767-2790
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006272
FL
Other
Enumeration date
02/24/2020
Last updated
11/29/2022
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