Individual
MRS. ERIN B MCCALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TOD1499
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TOD1499
OPTOMTRIST
TN
Enumeration date
10/18/2006
Last updated
08/07/2012
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