Healthcare Provider Details

I. General information

NPI: 1861505570
Provider Name (Legal Business Name): DAVID W GALE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TOWER RD NE SUITE 350
MARIETTA GA
30060-9415
US

IV. Provider business mailing address

3390 PEACHTREE RD NE STE 1500
ATLANTA GA
30326-2822
US

V. Phone/Fax

Practice location:
  • Phone: 770-590-1078
  • Fax: 770-422-7306
Mailing address:
  • Phone: 770-929-9033
  • Fax: 770-929-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number43618
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number043618
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: