Individual
JOHN GALLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1973 VAL VERDE DR, GERMANTOWN, TN 38138-3747
(901) 626-7454
Mailing address
1973 VAL VERDE DR, GERMANTOWN, TN 38138-3747
(901) 626-7454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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