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Individual

MICHAEL KALLAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3899
(770) 532-7179
Mailing address
1488 JESSE JEWELL PKWY SE STE 201, GAINESVILLE, GA 30501-3804
(770) 532-7179

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
13495
GA

Other

Enumeration date
10/17/2025
Last updated
10/17/2025
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