Individual
DR. CLYDE R. CALHOUN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5780 PEACHTREE DUNWOODY ROAD, SUITE 320, ATLANTA, GA 30342-1513
(404) 256-2943
(404) 256-6027
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000117048D
—
GA
05
—
000117048E
—
GA
05
—
000117048J
—
GA
Enumeration date
10/05/2005
Last updated
08/08/2013
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