Hudson-Gallogly, Wanda Kim

Hudson-Gallogly, Wanda Kim is an individual health care provider with primary practice located at 134 Ansley Dr Suite 200, Dahlonega GA 30533-1639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hudson-Gallogly, Wanda Kim can be contacted via phone (706) 864-2155.

Contact Information

Primary practice address
134 Ansley Dr Suite 200 Dahlonega GA 30533-1639
Phone: (706) 864-2155
Fax: (706) 374-7628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 097026 Georgia

Profile Details

NPI number 1427397116
LBN Legal business name Hudson-Gallogly, Wanda Kim
Credentials RN, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated May 30th, 2017 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427397116 NPPES
Georgia MEDICAID 003148051A

Popular Providers