Individual
CHAD DAVID MCCALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4195
(336) 716-3202
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-4195
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2011-00079
NC
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
35.091483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917702
—
NC
Enumeration date
05/17/2007
Last updated
01/27/2016
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