Gallego, Manolo

Gallego, Manolo is an sole proprietor health care provider with primary practice located at 880 Canton Rd Ne Suite 400, Marietta GA 30060-7276. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gallego, Manolo can be contacted via phone (770) 528-9788.

Contact Information

Primary practice address
880 Canton Rd Ne Suite 400 Marietta GA 30060-7276
Fax: (770) 420-2229
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036745 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036745 Georgia

Profile Details

NPI number 1275520793
LBN Legal business name Gallego, Manolo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Mar 22nd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275520793 NPPES
Georgia MEDICAID 00691182F
Georgia MEDICAID 000691182AB
Georgia MEDICAID 00691182E

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