RENAH ELIZABETH GALLAGHER CSFA
NPI 1245706720
Physician Assistant - Surgical in Jefferson, GA

Active since October 23, 2018
780 HAWKINS CREEK DR, JEFFERSON, GA 30549(706) 870-1395 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2019, Oct 23, 2018 (2 updates tracked since 2018).

About Renah Elizabeth Gallagher Csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAH ELIZABETH GALLAGHER CSFA (NPI 1245706720) is an individual surgical provider in Jefferson, Georgia and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1245706720
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameRENAH ELIZABETH GALLAGHERCredential: CSFA
Location Address780 HAWKINS CREEK DRJefferson, GA 30549-5416
Mailing Address780 Hawkins Creek DrJefferson, GA 30549-5416 · (706) 870-1395
Sole ProprietorYes
Enumeration DateOctober 23, 2018
Last NPPES UpdateJanuary 15, 20192 updates tracked since enumeration
NPI 1245706720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
780 HAWKINS CREEK DR, Jefferson, GA 30549

Other Identifiers 1

Other057038723GA · Drivers License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
780 HAWKINS CREEK DR
JEFFERSON, GA 30549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245706720, enumerated as an "individual" on October 23, 2018.

The provider is located at 780 HAWKINS CREEK DR JEFFERSON, GA 30549 and the phone number is (706) 870-1395.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.