Individual
WILLIAM THOMAS CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501
(770) 536-8109
(770) 536-3203
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 536-8109
(770) 536-3203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00162126A
—
GA
Enumeration date
05/23/2005
Last updated
05/29/2008
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