MEDICARE: TAYLOR CALLAHAN PA-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	363A00000X	Physician Assistant	0010-09922	NC

General Provider Information

NPI Number	:	1245752468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR CALLAHAN PA-C

Provider Business Mailing Address
First Line	:	1771 TATE BLVD SE STE 101
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4250
Country	:	US
Telephone Number	:	828-304-2535
Fax Number	:	828-256-1601

Provider Business Practice Location Address
First Line	:	1771 TATE BLVD SE STE 101
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4250
Country	:	US
Telephone Number	:	828-304-2535
Fax Number	:

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

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	06/04/2026

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Directions to “ TAYLOR CALLAHAN PA-C” Practice Location

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