IndividualActive
Thaddeus Gaillard, MD
NPI 1558413807 · Gynecology Physician · Southaven, MS
Provider details
- NPI number
- 1558413807
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 15990 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
401 Southcrest Circle
Suite 102
Southaven, MS 38671
Phone: (662) 349-4377
Fax: (662) 349-4378
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 381257
Germantown, TN 38183-1257
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2012-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.