Individual provider · Type 1 NPI
Thaddeus B. Gaillard Jr., MD
Gynecology Physician · Southaven, MS
NPI number
1558413807
Active
Practice location
401 Southcrest Circle, Suite 102
Southaven, MS 38671
Fax (662) 349-4378
Mailing address
PO Box 381257
Germantown, TN 38183-1257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician | 207VG0400X | 15990 (TN) |
| Gynecology Physician Primary | 207VG0400X | 11279 (MS) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Another provider at this address
About NPI 1558413807
Thaddeus B. Gaillard Jr., MD's National Provider Identifier is 1558413807, issued on Jan 17, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Southaven, MS. The record was last updated on Feb 15, 2012.