SearchTennessee225700000X

Nicklaus Mccallum

NPI 1992446272 · on the registry since 2022 · sole proprietor

Practice

Address
1026 Mansfield Ave Unit B
Nashville, TN 37206
Phone
(818) 404-1091

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee