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Cory Callahan, PA-C — NPI 1932647112, Johnson City, TN | NPI Central

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NPI 1932647112

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Cory Callahan, PA-C

NPI 1932647112 · Surgical Physician Assistant · Johnson City, TN

Provider details

NPI number: 1932647112
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No
License: PA1675 (ME)

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense 5089 (TN)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense PA1675 (ME)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 5089 (TN)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

410 N State of Franklin Rd Ste 140

Johnson City, TN 37604-6972

Phone: (423) 431-2460

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

1021 W Oakland Ave Ste 310

Johnson City, TN 37604-2192

Additional practice locations (2)

417 State St, Suite 340
Bangor, ME 04401
Phone: (207) 973-4949
Fax: (207) 973-4466
378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone: (423) 282-0751

Registry dates

Enumerated: 2017-02-07
Last updated: 2024-02-27
Certified: 2024-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.