Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gregory Wayne Haltom, LSA

Individual provider Surgical Technologist · NPI 1538489539

Mr. Gregory Wayne Haltom, LSA is a Surgical Technologist in Gallatin, Tennessee. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010

Practice location Address checks out

509 Ryan Ave
Gallatin, TN 37066-6621
Phone: (615) 230-1714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence SA00211 (TX)

Record details

NPI number1538489539
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedJune 2, 2010
Last updated in NPPESJuly 4, 2011
Mailing address509 Ryan Ave, Gallatin, TN 37066-6621