| Doctor Name: | WANDA KIM HUDSON-GALLOGLY |
| NPI Number: | 1427397116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, WHNP-BC |
| License Number: | 097026 |
| Business Practice Address: | 134 Ansley Dr Suite 200 Dahlonega, GA - 305331639 |
| Business Phone Number: | 7068642155 |
| Business Fax Number: | 7063747628 |
| Mailing Address: | Po Box 540, MORGANTON |
| State: | GA |
| Postal Code: | 305600540 |
| Phone Number: | 7069465602 |
| Fax Number: | 7063747628 |
| NPI Enumeration Date: | 01/31/2013 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 097026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |