Individual
DR. JOHN C CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
151 3RD ST, AURORA, NC 27806-9088
(252) 322-4021
(252) 322-5088
Mailing address
151 3RD ST, AURORA, NC 27806-9088
(252) 322-4021
(252) 322-5088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701709
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118L
BLUE CROSS BLUE SHIELD NC
NC
05
—
8910976
—
NC
Enumeration date
08/31/2006
Last updated
08/04/2012
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