MEDICARE: MRS. ELIZABETH DAVIS CALLAHAN NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN278208	GA

General Provider Information

NPI Number	:	1629748579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH DAVIS CALLAHAN NP-C

Provider Business Mailing Address
First Line	:	2702 WARE ST
Second Line	:
City	:	BLACKSHEAR
State	:	GA
Zip	:	31516-6101
Country	:	US
Telephone Number	:	912-288-0783
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 DOROTHY ST
Second Line	:
City	:	WAYCROSS
State	:	GA
Zip	:	31501-7161
Country	:	US
Telephone Number	:	912-285-4721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	09/14/2021

Similar Medicare Providers

1215921713 — WARE COUNTY HEALTH CARE LLC
Practice Location Address:

1910 DOROTHY ST
WAYCROSS, GA
31501-7161

Practice Phone: 912-285-4721
Practice Fax: 912-285-0058

1952390080 — COASTAL HEALTH SERVICES, INC.
Practice Location Address:

1910 DOROTHY ST
WAYCROSS, GA
31501-7161

Practice Phone: 478-783-4988
Practice Fax:

1396699005 — CRYSTAL LYNN BOYETT LPC
Practice Location Address:

1421 CHARLTON ST
WAYCROSS, GA
31501-7121

Practice Phone: 912-809-0961
Practice Fax:

1255613592 — DR. ROBERT GARY CARBAUGH M.D.
Practice Location Address:

914 CARRIE DR
WAYCROSS, GA
31501-4235

Practice Phone: 912-285-3876
Practice Fax:

1154336279 — WALGREEN CO
Practice Location Address:

1740 MEMORIAL DR
WAYCROSS, GA
31501-1044

Practice Phone: 912-338-9127
Practice Fax:

1154202810 — CLINICAL DIAGNOSTIC SERVICES
Practice Location Address:

506 HILL ST
WAYCROSS, GA
31501-3323

Practice Phone: 912-406-2237
Practice Fax: 339-207-0790

Directions to “ MRS. ELIZABETH DAVIS CALLAHAN NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.