MEDICARE: JORGE L. GALAN DO

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	207RG0100X	Gastroenterology Physician	00561	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01077727	OTHER	SC	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1598746612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE L. GALAN DO

Provider Business Mailing Address
First Line	:	2739 LAUREL ST STE 1A
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2028
Country	:	US
Telephone Number	:	803-799-4800
Fax Number	:	803-252-0052

Provider Business Practice Location Address
First Line	:	2739 LAUREL ST STE 1A
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2028
Country	:	US
Telephone Number	:	803-779-4800
Fax Number	:	803-252-0052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	10/24/2023

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Directions to “ JORGE L. GALAN DO” Practice Location

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