Healthcare Provider Details

I. General information

NPI: 1548210917
Provider Name (Legal Business Name): LINDA CERINA CALLWOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 SUGAR ESTATE
ST THOMAS VI
00802-2711
US

IV. Provider business mailing address

PO BOX 10281
ST THOMAS VI
00801-2617
US

V. Phone/Fax

Practice location:
  • Phone: 340-715-1000
  • Fax: 340-715-1003
Mailing address:
  • Phone: 340-715-1000
  • Fax: 340-715-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1392
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: