Individual
MISS TRACY RENEE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10825 OLD HIGHWAY 64, BOLIVAR, TN 38008-3599
(731) 658-5291
(731) 658-6536
Mailing address
PO BOX 670, BOLIVAR, TN 38008-0670
(731) 658-5291
(731) 658-6536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000073584
TN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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