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NPI Code Detail

MEDICARE: MR. RAYMOND FORREST GALLOWAY JR. A.P.R.N.

MEDICARE:  MR. RAYMOND FORREST GALLOWAY JR. A.P.R.N.
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
1363LF0000XFamily Nurse PractitionerA004607AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093173643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND FORREST GALLOWAY JR. A.P.R.N.
Provider Business Mailing Address
First Line : PO BOX 55050
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72215-5050
Country : US
Telephone Number : 501-906-3000
Fax Number : 501-907-8367
Provider Business Practice Location Address
First Line : 8901 CARTI WAY
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6523
Country : US
Telephone Number : 501-906-3000
Fax Number : 501-907-8367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 05/26/2026

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Directions to “ MR. RAYMOND FORREST GALLOWAY JR. A.P.R.N.” Practice Location

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