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1922610328
TIMOTHY DEVIN KALLAM
CHARLOTTE, NC
NPI
1922610328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10336)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
TIMOTHY DEVIN KALLAM PA-C
9915 PARK CEDAR DR
CHARLOTTE, NC 28210-8905
Phone number: 704-544-3263
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Mailing Address
TIMOTHY DEVIN KALLAM PA-C
4985 FRIENDLY FARMS RD
GREENSBORO, NC 27406-8213
Phone number: 336-404-9023
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