MEDICARE: MRS. ERIN CLAYTON GALLOWAY P.A.

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	363A00000X	Physician Assistant	PA 1352	TN
2	208VP0000X	Pain Medicine Physician	PA1352	TN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932231180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN CLAYTON GALLOWAY P.A.

Provider Business Mailing Address
First Line	:	131 SAUNDERSVILLE ROAD
Second Line	:	160
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075
Country	:	US
Telephone Number	:	615-824-3737
Fax Number	:	888-687-6133

Provider Business Practice Location Address
First Line	:	2400 PATTERSON STREET
Second Line	:	217
City	:	NASHVILLE
State	:	TN
Zip	:	37203
Country	:	US
Telephone Number	:	615-884-3737
Fax Number	:	888-687-6133

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	09/01/2015

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