MEDICARE: GALLIGAN FAMILY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2521	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0845K	OTHER	NC	BCBS
2	2453965	OTHER	NC	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326102914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALLIGAN FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1221 FLORAL PKWY
Second Line	:	SUITE 103
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6238
Country	:	US
Telephone Number	:	910-790-4575
Fax Number	:	910-790-7819

Provider Business Practice Location Address
First Line	:	1221 FLORAL PKWY
Second Line	:	SUITE 103
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6238
Country	:	US
Telephone Number	:	910-790-4575
Fax Number	:	910-790-7819

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GAIL SHANNON GALLIGAN
Credential	:	D.C.
Telephone Number	:	910-790-4575

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	05/10/2023

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Directions to “GALLIGAN FAMILY CHIROPRACTIC ” Practice Location

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