Provider Demographics
NPI:1649562687
Name:GALLAHER, JARED ROBERT (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:ROBERT
Last Name:GALLAHER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 BURNETT-WOMACK BUILDING CB# 7050
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7050
Mailing Address - Country:US
Mailing Address - Phone:919-966-4320
Mailing Address - Fax:919-966-7841
Practice Address - Street 1:UNC HOSPITALS
Practice Address - Street 2:101 MANNING DR DEPARTMENT OF SURGERY CB 7050
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7050
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:919-966-7841
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD185958208600000X
NC2014-00528208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery