Individual provider · Type 1 NPI

Cory Callahan, PA-C

Surgical Physician Assistant · Johnson City, TN

NPI number 1932647112 Active

Practice location

410 N State Of Franklin Rd Ste 140
Johnson City, TN 37604-6972

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 417 State St, Suite 340, Bangor, ME 04401 · (207) 973-4949
  • 378 Marketplace Blvd Ste 5, Johnson City, TN 37604-2361 · (423) 282-0751

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1675 (ME)
Physician Assistant 363A00000X5089 (TN)
Surgical Physician Assistant Primary 363AS0400X5089 (TN)

Surgical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1932647112

Cory Callahan, PA-C's National Provider Identifier is 1932647112, issued on Feb 7, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Johnson City, TN. The record was last updated on Feb 27, 2024.