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Contact Information

CORY CALLAHAN, PA-C
410 N STATE OF FRANKLIN RD STE 140
JOHNSON CITY, TN37604-6972
 Phone: 423-431-2460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CORY CALLAHAN · (Male)

NPI # 1932647112
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/07/2017
Last updated 02/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PA1675
  • TN License # 5089
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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