Jack B Mccallie MD

NPI 1023093853 - Internal Medicine - 207R00000X

NPI Details
NPI 1023093853
Gender Male
Enumeration Date 12/14/2005
Last Updated 08/13/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
725 GLENWOOD DR
SUITE E480
CHATTANOOGA TN, 37404-1163, US
Phone (423) 756-5779
Fax (423) 242-4552
Business Location
725 GLENWOOD DR
SUITE E480
CHATTANOOGA TN, 37404-1163, US
Phone (423) 756-5779
Fax (423) 242-4552
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 17950
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According to our database, Dr. Jack B Mccallie MD NPI is 1023093853, taxonomy code is 207R00000X and license number is 17950, license state is located at Tennessee. Jack B Mccallie MD physically located at 725 Glenwood Dr, Chattanooga TN, 37404-1163. NPI Number Jack B Mccallie MD has the Individual type.

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1023093853 NPI number is provided on an as is basis without warranty of any kind. 1023093853 is maintained by the National Plan & Provider Enumeration System. The contents of Jack B Mccallie MD are for informational purposes only.