Organization
CALLAWAY CLINIC L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN A PATEL M.D. (OWNER)
(850) 769-2803
Entity
Organization
Contact information
Practice address
489 N TYNDALL PKWY, PANAMA CITY, FL 32404-6126
(850) 769-2803
(850) 913-8046
Mailing address
489 N TYNDALL PKWY, PANAMA CITY, FL 32404-6126
(850) 769-2803
(850) 913-8046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/26/2007
Last updated
06/05/2008
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