Doctor Name: | SEAN THOMAS GALLAGHER |
NPI Number: | 1013326776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5007076 |
Business Practice Address: | 101 Manning Dr Chapel Hill, NC - 275144220 |
Business Phone Number: | 9199667746 |
Business Fax Number: | |
Mailing Address: | 101 Manning Dr, CHAPEL HILL |
State: | NC |
Postal Code: | 275144220 |
Phone Number: | 9199667746 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5007076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |