Provider Demographics
NPI:1093038713
Name:GALLOP, HUI SUN (OMDIP)
Entity Type:Individual
Prefix:MRS
First Name:HUI
Middle Name:SUN
Last Name:GALLOP
Suffix:
Gender:F
Credentials:OMDIP
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:GALLOP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OMDIP
Mailing Address - Street 1:2817 REILLY ST
Mailing Address - Street 2:WOMACK ARMY MEDICAL CENTER
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-7324
Mailing Address - Country:US
Mailing Address - Phone:910-487-4891
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:7709 CLIFFDALE RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-5841
Practice Address - Country:US
Practice Address - Phone:910-487-4891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10333171100000X
NC319171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist