Individual
HEIDI ANN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
809 BENTLEAF DR, DALLAS, GA 30132-1137
(770) 529-8745
Mailing address
809 BENTLEAF DR, DALLAS, GA 30132-1137
(770) 529-8745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001066
GA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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