Individual
DR. CHARLES LOUIS MCCALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
367 HOSPITAL BLVD, JACKSON, TN 38305-2080
(731) 661-2000
(901) 753-2896
Mailing address
791 WALNUT KNOLL LN, 2ND FL, CORDOVA, TN 38018-8839
(901) 755-7001
(901) 753-2896
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15620
TN
2085R0202X
Diagnostic Radiology Physician
49780
KY
2085R0202X
Diagnostic Radiology Physician
TP388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3038448
—
TN
Enumeration date
06/06/2006
Last updated
01/10/2017
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