Basic Information
| Provider Information | |||||||||
| NPI: | 1649562687 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GALLAHER | ||||||||
| FirstName: | JARED | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4001 BURNETT-WOMACK BUILDING CB# 7050 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664320 | ||||||||
| FaxNumber: | 9199667841 | ||||||||
| Practice Location | |||||||||
| Address1: | UNC HOSPITALS | ||||||||
| Address2: | 101 MANNING DR DEPARTMENT OF SURGERY CB 7050 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664653 | ||||||||
| FaxNumber: | 9199667841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2011 | ||||||||
| LastUpdateDate: | 07/14/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD185958 | OR | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 2014-00528 | NC | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.