Individual
DR. CLAIBORNE MOORE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 DAVIS AVE SW, LEESBURG, VA 20175-3824
(703) 777-1244
(540) 338-9137
Mailing address
20 DAVIS AVE SW, LEESBURG, VA 20175-3824
(703) 777-1244
(540) 338-9137
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101250311
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510I180004
MEDICARE PTAN
AL
Enumeration date
07/13/2005
Last updated
01/17/2021
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