Individual
MADISON GRACE CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(423) 869-7200
Mailing address
141 NORTHWESTERN AVE, OAK RIDGE, TN 37830-7445
(251) 581-3777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
04/14/2026
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