Individual
MR. ERIC SHANNON GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 KENSINGTON DR, APT 923, JACKSONVILLE, NC 28546-7162
(910) 450-9581
Mailing address
900 KENSINGTON DR, APT 923, JACKSONVILLE, NC 28546-7162
(910) 450-9581
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
05/07/2008
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