Callahan, William Thomas

Callahan, William Thomas is an individual health care provider with primary practice located at 663 Lanier Park Dr , Gainesville GA 30501. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Callahan, William Thomas can be contacted via phone (770) 536-8109.

Contact Information

Primary practice address
663 Lanier Park Dr Gainesville GA 30501
Fax: (770) 536-3203
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14469 Georgia

Profile Details

NPI number 1356344535
LBN Legal business name Callahan, William Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356344535 NPPES
Georgia MEDICAID 00162126A

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