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Individual

DR. STANLEY A GALL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
(423) 230-5035
Mailing address
105W STONE DR 6A, KINGSPORT, TN 37660-3365
(423) 408-7288
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
38654
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010113253
TN
05
3894110
TN
01
621112685
UNITED HEALTHCARE
TN
05
P00155019
KY
Enumeration date
06/30/2006
Last updated
07/14/2015
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