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NPI Profile for Dr BENNIE E CALLOWAY III in VALDOSTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1952189185 |
|
| Status | Active | |
| Credentials | D.MIN, DRE, LCPC | |
| Entity | Individual | |
| Enumeration date | 09/19/2023 | |
| Last updated | 09/19/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BENNIE E CALLOWAY III
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BENNIE E CALLOWAY III, D.MIN, DRE, LCPC