Healthcare Provider Details

I. General information

NPI: 1881727576
Provider Name (Legal Business Name): CALLAWAY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 W INNES ST
SALISBURY NC
28144-4143
US

IV. Provider business mailing address

PO BOX 667967
CHARLOTTE NC
28266-7967
US

V. Phone/Fax

Practice location:
  • Phone: 704-395-0060
  • Fax: 704-521-5092
Mailing address:
  • Phone: 704-395-0060
  • Fax: 704-521-5092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLIFFORD CALLAWAY
Title or Position: CEO
Credential: M.D.
Phone: 704-395-0060