Most Relevant Information
Provider Data
NPI Number: | 1003420712 |
Provider Name: | BRANDON M GALLOWAY |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | 101Y0000X |
Most Important Dates
Enumeration Date: | 09/01/2020 |
Last Updated: | 09/01/2020 |
Provider Practice Location
1510 OLD RINGGOLD RD
CHATTANOOGA
TN
374045444
Practice Location Phone/Fax
Phone: | 4232666731 |
Fax: |
Provider Mailing Location
201 W SPRINGDALE AVE
KNOXVILLE
TN
379175158
Provider Mailing Phone/Fax
Phone: | 8656379711 |
Fax: |