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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JUAQUITA D CALLAWAY, MD

Deactivated Sole Proprietor

MS. JUAQUITA D CALLAWAY, MD is a Gynecology healthcare provider located in DECATUR, Georgia. NPI 1629075544 is deactivated in the NPPES registry. Verify at CMS.

Gynecology · DECATUR, GA

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1629075544
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2005 (0.7041095890411 yrs)
Last Updated
Jun 7, 2013
Deactivated
Mar 21, 2006
License
033289 (GA)
Sole Proprietor
Yes

Practice Information

Address
2785 LAWRENCEVILLE HWY
STE 107
DECATUR, GA, 30033
Browse GA providers · Browse ZIP 30033
Phone
6782050405
Primary Specialty
Gynecology
207VG0400X

Other Gynecology Providers in DECATUR, GA

Name Credential NPI
DR. TYRONE CECIL MALLOY M.D. 1841393097
DR. KATHLEEN M RAVIELE MD 1508954298
DR. CYNTHIA JO GOODMAN MD 1477795268
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.