Healthcare Provider Details

I. General information

NPI: 1326278532
Provider Name (Legal Business Name): CHAD MICHAEL MCCALL M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 11/20/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BYTHE BLVD 4TH FLOOR
CHARLOTTE NC
28203-5812
US

IV. Provider business mailing address

PO BOX 96782
CHARLOTTE NC
28296-6782
US

V. Phone/Fax

Practice location:
  • Phone: 704-973-5500
  • Fax: 704-973-5518
Mailing address:
  • Phone: 704-446-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number2013-02519
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number2013-02519
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: