Individual provider · Type 1 NPI

Jonathan Bennett Gallinger

Medical Physician Assistant · Fort Benning, GA

NPI number 1790268290 Active

Practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Mailing address

5 Anna Kate Way
Phenix City, AL 36869-3225

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1790268290

Jonathan Bennett Gallinger's National Provider Identifier is 1790268290, issued on Sep 11, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Benning, GA. The record was last updated on Jun 12, 2025.