MR. EDUARDO GALLARDO


Address: 1102 W Waugh St, Dalton, GA 30720-8769
Phone: 7062772321

MR. EDUARDO GALLARDO (NPI# 1144697251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144697251
Entity Type Individual
Full Name MR. EDUARDO GALLARDO
Other Name EDUARDO GALLARDO
Credential NP
Practice Address 1102 W Waugh St
Dalton
GA 30720-8769
Mailing Address 9511 Weidner Ln
Ooltewah
TN 37363-4874
Practice Telephone 7062772321
Practice Fax Number 7064282812
Mailing Telephone 9566405204
Enumeration Date 2015-08-24
Last Update Date 2015-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN229452 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1102 W WAUGH ST
City DALTON
State GA
Zip Code 30720-8769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811933393 Elizabeth M Stropnicky Obstetrics & Gynecology 1102 W Waugh St, Dalton, GA 30720-8769 2006-06-21
1548798150 Lizeth Joanna Rego Cortes Nurse Practitioner 1102 W Waugh St, Dalton, GA 30720-8769 2017-05-25
1346781135 Kasi Amanda Runion Hearing Instrument Specialist 1102 W Waugh St, Dalton, GA 30720-8769 2017-03-14
1922545730 The Hearing Group, LLC Hearing Instrument Specialist 1102 W Waugh St, Dalton, GA 30720-8769 2017-01-31
1326582107 Clarena Salcedo Nurse Practitioner 1102 W Waugh St, Dalton, GA 30720-8769 2016-12-13
1710316641 Gina Hiatt Shumway Nurse Practitioner 1102 W Waugh St, Dalton, GA 30720-8769 2013-11-01
1427338011 Mariana B Caban Nurse Practitioner 1102 W Waugh St, Dalton, GA 30720-8769 2011-08-26
1609912328 Narendra M Patel Internal Medicine 1102 W Waugh St, Dalton, GA 30720-8769 2007-01-29
1255480836 St. Joseph Clinic, P.C. Internal Medicine 1102 W Waugh St, Dalton, GA 30720-8769 2007-01-10
1033229661 Carlos H Perez Psychiatry & Neurology 1102 W Waugh St, Dalton, GA 30720 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528688421 Nighat Purnima Kabir Student in an Organized Health Care Education/Training Program Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 2020-04-21
1720620727 Elizabeth Nicole Gregory Behavioral Analyst 1201 Burleyson Rd., Dalton, GA 30720 2019-10-10
1972161768 Andrea Nicole Henry Speech-Language Pathologist 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 2019-06-05
1275056905 Cynthia L Wood Speech-Language Pathologist 1011 Professional Blvd., Dalton, GA 30720 2017-07-25
1073069225 Alyssa Sellers Garner Nurse Practitioner 1436 Chattanooga Avenue, Dalton, GA 30720 2016-08-28
1588039077 Katie Walker Social Worker 900 Shugart Road, Dalton, GA 30720 2015-12-09
1215310800 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 98 West Walnut Ave, Dalton, GA 30720 2015-07-01
1275969081 Stacy Kay Whitehead Nurse Practitioner 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 2013-09-25
1821439985 Chantal Aneka Raheeda Lewis Internal Medicine 1109 Burleyson Rd Ste 103, Dalton, GA 30720 2013-07-17
1174960678 Homestead Hospice of Northwest Georgia, LLC Hospice Care, Community Based 1601 Hickory Street, Dalton, GA 30720 2013-05-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245847367 Marlin Calvin Allen Nurse Practitioner 1209 W Walnut Ave Ste 1, Dalton, GA 30720-3961 2020-09-24
1215559364 Kelcey Akridge Bennett Nurse Practitioner 1233 Covie Dr, Dalton, GA 30720-2524 2020-05-12
1699318303 Gregory Allen Green Nurse Practitioner 2246 Rocky Face Cir, Dalton, GA 30720-2946 2019-10-25
1952885634 Ashley Kaye Lumpkin Nurse Practitioner 2709 Airport Rd Ste 101, Dalton, GA 30721-0252 2018-09-19
1154823086 Jamie Lynn Haswell Nurse Practitioner 304 Brickyard Rd, Dalton, GA 30721-4815 2018-03-07
1073069225 Alyssa Sellers Garner Nurse Practitioner 1436 Chattanooga Avenue, Dalton, GA 30720 2016-08-28
1750793410 Natalie Renee Ali Nurse Practitioner 1012 Burleysron Rd, Dalton, GA 30720-8340 2014-05-28
1275969081 Stacy Kay Whitehead Nurse Practitioner 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 2013-09-25
1598958498 Bradley Robert Mills Nurse Practitioner 1107 Memorial Dr Ste 200, Dalton, GA 30720-8662 2007-08-23
1306064308 Carmen Plott Nurse Practitioner 1504 N. Thorton Ave, Suite 102, Dalton, GA 30722 2007-04-23
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Competitor

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City DALTON
Zip Code 30720

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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