Individual
DR. CALVIN ODELL MCCALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, DERMATOLOGY/111L, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5670
Mailing address
1201 BROAD ROCK BLVD, DERMATOLOGY/111L, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101037654
VA
207N00000X
Dermatology Physician
042351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00713358B
—
GA
Enumeration date
08/31/2006
Last updated
02/10/2009
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