Individual
CAMILLE ELISE CALCANO CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 879-4776
(706) 879-4781
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80352
GA
208M00000X
Hospitalist Physician
80352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003211425A
—
GA
Enumeration date
04/15/2015
Last updated
09/10/2020
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