Individual
GENUA L MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 HICKORY ST, CLINTON, TN 37716-2915
(865) 617-3567
Mailing address
411 HICKORY ST, CLINTON, TN 37716-2915
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0000200745
TN
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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