Healthcare Provider Details

I. General information

NPI: 1932231180
Provider Name (Legal Business Name): ERIN CLAYTON GALLOWAY P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON STREET 217
NASHVILLE TN
37203
US

IV. Provider business mailing address

131 SAUNDERSVILLE ROAD 160
HENDERSONVILLE TN
37075
US

V. Phone/Fax

Practice location:
  • Phone: 615-884-3737
  • Fax: 888-687-6133
Mailing address:
  • Phone: 615-824-3737
  • Fax: 888-687-6133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA 1352
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberPA1352
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: