Individual
THERESA G MCCALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 HOSPITAL DRIVE, MAGNOLIA, AR 71753
(870) 235-3210
(870) 235-3211
Mailing address
PO BOX 629, MAGNOLIA, AR 71754
(870) 235-3210
(870) 235-3211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E5171
AR
Other
Enumeration date
04/03/2007
Last updated
09/11/2009
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