Kallay, Dannette
Kallay, Dannette is an individual health care provider with primary practice located at 1701 Boulevard Sq Ste D , Waycross GA 31501-8022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kallay, Dannette can be contacted via phone (912) 387-0445.Contact Information
Primary practice address
1701 Boulevard Sq Ste D
Waycross GA 31501-8022
Phone: (912) 387-0445
Fax: (912) 226-3513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 041044 | Georgia |
Profile Details
| NPI number | 1780767665 |
|---|---|
| LBN Legal business name | Kallay, Dannette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 13th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780767665 | NPPES |
| Georgia | MEDICAID | 000758491E |
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