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NPI Code Detail

MEDICARE: HOPE JENAE GALLOWAY MD

MEDICARE: HOPE JENAE GALLOWAY MD
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
1207Q00000XFamily Medicine Physician061128GA

General Provider Information

NPI Number : 1871703538
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE JENAE GALLOWAY MD
Provider Business Mailing Address
First Line : 3495 PIEDMONT RD NE
Second Line : NINE PIEDMONT CENTER
City : ATLANTA
State : GA
Zip : 30305-1717
Country : US
Telephone Number : 404-364-7070
Fax Number :
Provider Business Practice Location Address
First Line : 2240 FOUNTAIN DR
Second Line : KAISER PERMANENTE SNELLVILLE MEDICAL CENTER
City : SNELLVILLE
State : GA
Zip : 30078-2919
Country : US
Telephone Number : 770-978-5427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 01/07/2022

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