Organization
CALHOUN SPINAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER B MCCRACKEN (OWNER)
(706) 624-0200
Entity
Organization
Contact information
Practice address
1012 S WALL ST, SUITE A, CALHOUN, GA 30701-3066
(706) 624-0200
(706) 624-9136
Mailing address
1012 S WALL ST, SUITE A, CALHOUN, GA 30701-3066
(706) 624-0200
(706) 624-9136
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
044536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295741460
MEDICARE NPI
GA
01
—
1710096870
MEDICARE NPI
GA
01
—
1730485194
MEDICARE NPI
GA
Enumeration date
08/24/2011
Last updated
04/21/2014
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