Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD46272 | TN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD46272 | TN |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD46272 | TN |
NPI | 1407037815 |
---|---|
Provider Name | Bethany Gallagher |
First Address | Nashville, TN 37232-8774 |
Second Address | Nashville, TN 37232-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000908400 | (05) | FL |
29026 | BCBS (01) | FL |
328002 | AVMED (01) | FL |
6467834 | CIGNA (01) | FL |
9301291 | AETNA (01) | FL |