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Individual

MR. ROBERT MCCALL NEVIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2025
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2025

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000000528
TN
225100000X
Physical Therapist
PT000687
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006135
BLUE CROSS/ BLUE SHIELD
TN
01
TN0100
JOHN DEERE
TN
Enumeration date
06/21/2006
Last updated
10/24/2007
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