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Individual

ALFRED SAMUEL CALLAHAN III

Active
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Individual

ALFRED SAMUEL CALLAHAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD009933
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3187893
TN
01
64772494
UNISYS
KY
01
7024
MEDICARE
KY
Enumeration date
06/23/2006
Last updated
02/20/2008
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