Individual
CORY CALLAHAN
Active
Individual
CORY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5089
TN
363A00000X
Physician Assistant
PA1675
ME
363AS0400X
Surgical Physician Assistant
Primary
5089
TN
Other
Enumeration date
02/07/2017
Last updated
02/27/2024
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