Jody Carlton Callaway in Russellville - Gynecology
Jody Carlton Callaway - NPI 1245296961
Jody Carlton Callaway is a Gynecology in Russellville, Arkansas. Jody Carlton Callaway practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Jody Carlton Callaway is 1245296961. The last update date is 2023-08-22.
Jody Carlton Callaway's current location address is 105 Skyline Dr, Russellville, Arkansas. You can contact this provider via phone number 4799682345 and fax number 4798907125. The mailing address for Jody Carlton Callaway is 105 Skyline Dr, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Carlton Callaway |
|---|---|
| Address | 105 Skyline Dr, Russellville, Arkansas |
| Phone Number | 4799682345 |
| Fax Number | 4798907125 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245296961 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
| Address | 105 Skyline Dr |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728013363 |
| Phone Number | 4799682345 |
| Fax Number | 4798907125 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | C-6385 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113544001 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jody Carlton Callaway?
The Jody Carlton Callaway has been issued the NPI (National Provider Identifier) 1245296961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jody Carlton Callaway's facilities are situated?
The facilities of Jody Carlton Callaway are physically located at the following address: 105 Skyline Dr, Russellville, AR, 728013363.
What is the Jody Carlton Callaway's specialty and taxonomy code?
The Jody Carlton Callaway's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245296961 to Jody Carlton Callaway?
The Jody Carlton Callaway received its 1245296961 assignment from the Centers for Medicare & Medicaid Services on 2006-04-21.
When was the information regarding Jody Carlton Callaway most recently updated?
The details pertaining to the Jody Carlton Callaway, including its address, specialty, and other relevant information, were last refreshed on 2023-08-22.