Organization Name: | GERALD B CALIA |
NPI Number: | 1003003922 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE P SHARP (BILLING MANAGER) |
Mailing Address: | 162 Ridgeway Ctr Oak Ridge |
State: | TN US |
Postal Code: | 378306926 |
Phone Number: | 8654823441 |
Fax Number: | 8654836299 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |