Manolo Gallego is a Specialist in Marietta, Georgia. Manolo Gallego practices all healthcare services and medical treatments related to Specialist. The NPI Number for Manolo Gallego is 1275520793. The last update date is 2012-03-22.
Manolo Gallego's current location address is 880 Canton Rd Ne, Marietta, Georgia. You can contact this provider via phone number 7705289788 and fax number 7704202229. The mailing address for Manolo Gallego is 880 Canton Rd Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manolo Gallego |
|---|---|
| Address | 880 Canton Rd Ne, Marietta, Georgia |
| Phone Number | 7705289788 |
| Fax Number | 7704202229 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275520793 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2012-03-22 |
Provider Mailing Address Detail
| Address | 880 Canton Rd Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300607276 |
| Phone Number | 7705289788 |
| Fax Number | 7704202229 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36745 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00691182F | GA | -- | |
| 000691182AB | GA | -- | |
| 00691182E | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Manolo Gallego?
The Manolo Gallego has been issued the NPI (National Provider Identifier) 1275520793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Manolo Gallego's facilities are situated?
The facilities of Manolo Gallego are physically located at the following address: 880 Canton Rd Ne, Marietta, GA, 300607276.
What is the Manolo Gallego's specialty and taxonomy code?
The Manolo Gallego's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Manolo Gallego receive the assignment of its 1275520793 from the Centers for Medicare & Medicaid Services?
The Manolo Gallego was issued its 1275520793 by the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date was the information regarding Manolo Gallego, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Manolo Gallego, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-22.
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