Individual
DR. JANICE TUCK CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PHD, PHARMD
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 583-2835
(706) 542-9714
Mailing address
265 HANCOCK LN, ATHENS, GA 30605-4741
(706) 540-4128
(706) 549-2887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003757
GA
183500000X
Pharmacist
12111
GA
Other
Enumeration date
01/30/2006
Last updated
11/28/2007
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