Provider Demographics
NPI:1154991776
Name:GALLATIN MEDICAL PARTNERS, PLLC
Entity type:Organization
Organization Name:GALLATIN MEDICAL PARTNERS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:MAZUREK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-972-4708
Mailing Address - Street 1:179 HANCOCK STREET
Mailing Address - Street 2:STE 406
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066
Mailing Address - Country:US
Mailing Address - Phone:615-452-5943
Mailing Address - Fax:615-695-1200
Practice Address - Street 1:179 HANCOCK STREET
Practice Address - Street 2:STE 406
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066
Practice Address - Country:US
Practice Address - Phone:615-452-5943
Practice Address - Fax:615-695-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-27
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty