Individual
DR. NATHAN MICHAEL KALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3755 SIXES RD, SUITE 202, CANTON, GA 30114-7842
(770) 720-1880
Mailing address
3755 SIXES RD, SUITE 202, CANTON, GA 30114-7842
(770) 720-1880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70998
GA
Other
Enumeration date
06/16/2014
Last updated
07/01/2015
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