Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THADDEUS B GAILLARD JR., MD
ActiveTHADDEUS B GAILLARD JR., MD is a Gynecology healthcare provider located in SOUTHAVEN, Mississippi. NPI 1558413807 is currently active in the NPPES registry. Verify at CMS.
Gynecology · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1558413807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2007 (19.590320671756 yrs)
- Last Updated
- Feb 15, 2012
- Licenses
-
15990 (TN)11279 (MS)
Practice Information
- Address
-
401 SOUTHCREST CIRCLESUITE 102SOUTHAVEN, MS, 38671Browse MS providers · Browse ZIP 38671
- Phone
- 6623494377
- Fax
- 6623494378
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Gynecology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.