Gallant, Mary Alice

Gallant, Mary Alice is an individual health care provider with primary practice located at 2061 Experiment Station Rd , Watkinsville GA 30677. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gallant, Mary Alice can be contacted via phone (706) 310-0324.

Contact Information

Primary practice address
2061 Experiment Station Rd Watkinsville GA 30677
Phone: (706) 310-0324
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1750445300
LBN Legal business name Gallant, Mary Alice
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Aug 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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