Individual
MRS. SARA GAGE CALAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1215 7TH ST SE, SUITE 130, DECATUR, AL 35601-3337
(256) 584-0056
Mailing address
PO BOX 727, DECATUR, AL 35602-0727
(256) 584-0056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA390
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009978275
—
AL
01
—
051555199
MEDICARE
AL
01
—
0910134
UNITED HEALTHCARE
AL
01
—
51049722
BCBS
AL
01
—
51049723
BCBS
AL
Enumeration date
03/18/2006
Last updated
10/21/2009
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