Provider Demographics
NPI:1194699520
Name:GALLINGER, NOAH (RT(R)(CT) LAC LMBT)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:GALLINGER
Suffix:
Gender:M
Credentials:RT(R)(CT) LAC LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 DISCOVERY PL
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-8608
Mailing Address - Country:US
Mailing Address - Phone:828-506-0971
Mailing Address - Fax:
Practice Address - Street 1:540 DELLWOOD CITY ROAD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786
Practice Address - Country:US
Practice Address - Phone:218-382-8786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2165171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty