Individual
JILL Y. MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
4
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AA0003
—
SC
01
—
C2611
MEDCOST
—
Enumeration date
10/19/2005
Last updated
06/23/2011
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