Most Relevant Information
Provider Data
| NPI Number: | 1003444092 |
| Provider Name: | LAURA GALLOWAY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2020 |
| Last Updated: | 06/30/2023 |
Provider Practice Location
575 INGLES DR
INMAN
SC
29349
Practice Location Phone/Fax
| Phone: | 8643424090 |
| Fax: |
Provider Mailing Location
PO BOX 20
MEMPHIS
TN
381010020
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |