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Individual

DR. ROGER GALLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL PARK BLVD, SUITE 150 WEST, BRISTOL, TN 37620-7430
(423) 844-3360
(423) 844-3369
Mailing address
PO BOX 173, FLAG POND, TN 37657-0173
(423) 743-8979

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD8623
TN

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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