Individual
DR. ROBERT VAN GALLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1480 BAXTER ST, ATHENS, GA 30606-6393
(706) 543-0228
Mailing address
1480 BAXTER ST, ATHENS, GA 30606-6393
(706) 543-0228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037717
GA
Other
Enumeration date
02/11/2008
Last updated
09/25/2015
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