Individual
SCOT C CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E BRUNSON ST, STE 100, ENTERPRISE, AL 36330
(334) 393-6673
(334) 347-9599
Mailing address
PO BOX 311464, ENTERPRISE, AL 36331
(334) 393-6673
(334) 347-9599
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18006
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77626
BCBS
—
05
—
77626
—
AL
Enumeration date
01/05/2006
Last updated
01/27/2019
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