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Contact Information

KEITH J GALLAHER, MD
1638 OWEN DRIVE
FAYETTEVILLE, NC28302
 Phone: 910-223-1339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KEITH J GALLAHER · (Male)

NPI # 1649374745
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2006
Last updated 01/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 38945
  • NC Medicaid 893437E
  • Other 3437E BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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