Individual
DR. JEFFREY BORDEN MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 MEDICAL PARK CT, MOREHEAD CITY, NC 28557-4346
(252) 247-2013
(252) 247-7299
Mailing address
302 MEDICAL PARK CT, MOREHEAD CITY, NC 28557-4346
(252) 247-2013
(252) 247-7299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054871
GA
207R00000X
Internal Medicine Physician
Primary
2005-01961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752086094A
—
GA
Enumeration date
07/03/2006
Last updated
03/17/2018
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