Individual
JOHN P GALDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24420
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063087
MCRR
TN
01
—
100021419
PHP TENNCARE
TN
05
—
261521
—
SC
05
—
3079434
—
TN
01
—
3104845
BLUECARE
TN
Enumeration date
11/09/2005
Last updated
06/12/2024
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