Mccallum, Angela B.

Mccallum, Angela B. is an individual health care provider with primary practice located at 360 Simpson Highway 149 Ste 370 , Magee MS 39111-3843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccallum, Angela B. can be contacted via phone (601) 849-1530.

Contact Information

Primary practice address
360 Simpson Highway 149 Ste 370 Magee MS 39111-3843
Phone: (601) 849-1530
Fax: (601) 849-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R856059 Mississippi

Profile Details

NPI number 1659755676
LBN Legal business name Mccallum, Angela B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Apr 8th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659755676 NPPES
Mississippi Other 431343AB6F MEDICARE ST DOM
Mississippi MEDICAID 07780038 MEDICARE ST DOM

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