Individual
DUNWEL MACALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MACC-A
Contact information
Practice address
700 W FOREST AVE, STE 300, JACKSON, TN 38301-3937
(731) 422-0340
(731) 422-0319
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1022
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523035
—
TN
Enumeration date
08/08/2006
Last updated
11/29/2012
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