Provider Demographics
NPI:1932231180
Name:GALLOWAY, ERIN CLAYTON (PA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:CLAYTON
Last Name:GALLOWAY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:131 SAUNDERSVILLE ROAD
Mailing Address - Street 2:160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:888-687-6133
Practice Address - Street 1:2400 PATTERSON STREET
Practice Address - Street 2:217
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-884-3737
Practice Address - Fax:888-687-6133
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2015-09-01
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Provider Licenses
StateLicense IDTaxonomies
TNPA 1352363A00000X
TNPA1352208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100242880Medicaid
TN1523574Medicaid
TN103I970645Medicare PIN