WANDA KIM HUDSON-GALLOGLY


Address: 134 Ansley Dr, Suite 200, Dahlonega, GA 30533-1639
Phone: 7068642155

WANDA KIM HUDSON-GALLOGLY (NPI# 1427397116) 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) 1427397116
Entity Type Individual
Full Name WANDA KIM HUDSON-GALLOGLY
Credential RN, WHNP-BC
Practice Address 134 Ansley Dr
Suite 200
Dahlonega
GA 30533-1639
Mailing Address 165 Blue Ridge Overlook
Blue Ridge
GA 30513-4431
Practice Telephone 7068642155
Practice Fax Number 7063747628
Mailing Telephone 7069465600
Mailing Fax Number 7063747628
Enumeration Date 2013-01-31
Last Update Date 2017-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
097026 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003148051A 05

Office Location

Street Address 134 ANSLEY DR
SUITE 200
City DAHLONEGA
State GA
Zip Code 30533-1639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780627380 Benjamin G Allen Surgery 134 Ansley Dr, Suite 400, Dahlonega, GA 30533-1639 2006-06-13
1144652033 Herbert Barton Hahn Optometrist 134 Ansley Dr, Dahlonega, GA 30533-1639 2013-08-02
1447574983 Kimberly Massey Nurse Practitioner 134 Ansley Dr, Suite 400, Dahlonega, GA 30533-1639 2010-03-25
1356547749 Benjamin Collin Stong Otolaryngology 134 Ansley Dr, Suite 400, Dahlonega, GA 30533-1639 2007-06-22
1780703306 Carolynn Anne Desandre Nurse Practitioner 134 Ansley Dr, Suite 200, Dahlonega, GA 30533-1640 2007-03-28
1407904980 The Atlanta Cardiology Group, PC Internal Medicine 134 Ansley Dr, Suite 400, Dahlonega, GA 30533-1614 2007-01-08
1639246366 Armando J Moncada Jr. Specialist 134 Ansley Dr, Suite 500, Dahlonega, GA 30533-1614 2006-11-29
1205933876 Toni Odom Barnett Nurse Practitioner 134 Ansley Dr, Suite 200, Dahlonega, GA 30533-1640 2006-09-17
1063442036 David James Conaway Orthopaedic Surgery 134 Ansley Dr, Suite 700, Dahlonega, GA 30533-1639 2006-07-04

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NPI Name Taxonomy Address Enumeration
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1558753665 Chelsey Park Health & Rehabilitation LLC Skilled Nursing Facility 200 Mountain Park Drive, Dahlonega, GA 30533 2015-02-26
1609286574 Lanier Dental Group, Inc Clinic/Center 5458 S Chestatee, Dahlonega, GA 30533 2014-05-01
1265787444 Lumpkin County Emergency Medical Services Ambulance 57a Pine Tree Way, Dahlonega, GA 30533 2012-07-13
1750651170 Karen Lee Barrett Nurse Practitioner 82 College Ln, Dahlonega, GA 30533 2012-01-02
1427333095 Dahlonega Pediatric and Adolescent Medicine Pediatrics 1055 North Grove St., Dahlonega, GA 30533 2011-10-14
1851690259 Anselm Kwaku Addo Pharmacist 566 East Main St, Dahlonega, GA 30533 2011-03-24
1497064810 The Maher Rehabilitation Institute LLC Physical Therapist 155 Sunset Drive, Dahlonega, GA 30533 2010-10-04
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871901090 Carol Lumpkin Nurse Practitioner 15 Porter St East, Winder, GA 30680 2014-07-31
1992138788 Lindley Ann Cone Kent Nurse Practitioner 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 2013-08-15
1881963122 Heather Calhoun Quaile Nurse Practitioner 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 2011-12-15
1275812760 Leah Galloway Pombo Nurse Practitioner 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 2011-08-15
1033315122 Suni Hamm Carroll Nurse Practitioner 1105 N 5th Ave Ne, Rome, GA 30165-2603 2007-06-25
1619189784 Pamela T. Puett Nurse Practitioner 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 2007-05-03
1538201330 Betty S Rhyne Nurse Practitioner 618 E Lamar St, Americus, GA 31709-3738 2007-02-12
1457389751 Katina Catrice Hunter Nurse Practitioner 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 2006-06-28
1912945288 Angela B Townsend Nurse Practitioner 11168 Columbia St, Blakely, GA 39823-3474 2006-06-02
1316900343 Regina C Bogle Nurse Practitioner 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 2006-04-10
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Competitor

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City DAHLONEGA
Zip Code 30533

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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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