Mccallum, Lee Wilkes

Mccallum, Lee Wilkes is an individual health care provider with primary practice located at 1385 W Brierbrook Rd , Germantown TN 38138-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccallum, Lee Wilkes can be contacted via phone (901) 752-2300.

Contact Information

Primary practice address
1385 W Brierbrook Rd Germantown TN 38138-2208
Phone: (901) 752-2300
Fax: (901) 752-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17202 Tennessee

Profile Details

NPI number 1053304758
LBN Legal business name Mccallum, Lee Wilkes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Apr 18th, 2013 - about 11 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 1053304758 NPPES
Tennessee Other 4057032 AETNA
Tennessee Other 2623978 AETNA
Tennessee Other 140818 AETNA

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