Callaway Internal Medicine Group
Callaway Internal Medicine Group is a Specialist in Fulton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2613 Fairway Dr Ste DFulton, MO 65251-3936
Phone: (573) 642-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 112907 (MO) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 113229 (MO) |
Record details
| NPI number | 1205910874 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frederick Wilson — Physician · (573) 642-4242 |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2613 Fairway Dr, Suite D, Fulton, MO 65251-3936 |
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Kelly L Nickelson, PHYSICALTHERAPIST
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