# JOEL T CALLAHAN THOMAS H GREER JR & A GARY BOONE PTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Internal Medicine Clinic, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932248853
- **Authorized official:** MR. JAMES A ALLEN (ADMINISTRATOR)
- **Authorized official phone:** (601) 581-2295

## Contact information

- **Practice address:** 1600 22ND AVE, MEDICAL TOWERS III, MERIDIAN, MS 39301-3223
- **Practice address phone:** (601) 483-5322
- **Practice address fax:** (601) 693-8081
- **Mailing address:** 1600 22ND AVE, MEDICAL TOWERS III, MERIDIAN, MS 39301-3223
- **Mailing address phone:** (601) 483-5322
- **Mailing address fax:** (601) 693-8081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 12/14/2011