Individual
TRACY Q. CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, #300C, HENDERSONVILLE, TN 37075-2379
(615) 338-3337
(615) 338-3329
Mailing address
353 NEW SHACKLE ISLAND RD, #300C, HENDERSONVILLE, TN 37075-2379
(615) 338-3337
(615) 338-3329
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15550
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007822
—
TN
Enumeration date
08/23/2006
Last updated
02/11/2022
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