Individual
SCOTT GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3404 WAKE FOREST RD, RALEIGH, NC 27609-7340
(919) 576-8155
(919) 576-8154
Mailing address
3404 WAKE FOREST RD, RALEIGH, NC 27609-7340
(919) 576-8155
(919) 576-8154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2011-01979
NC
208600000X
Surgery Physician
ME86585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270032800
—
FL
01
—
46697
BLUE CROSS BLUE SHIELD
FL
05
—
5919688
—
NC
Enumeration date
08/13/2006
Last updated
09/01/2020
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