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Individual
MR. DANIEL JOHN CALLAHAN
Active
Individual
MR. DANIEL JOHN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9243
GA
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
NPI NUMBER
GA
Enumeration date
02/13/2019
Last updated
09/25/2019
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