MEDICARE: DR. GAIL SHANNON GALLIGAN DC

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	:	1750466306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL SHANNON GALLIGAN DC

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 PARKWAY
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. GAIL SHANNON GALLIGAN DC” Practice Location

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