Callie Denise Clegg, RN is a
Registered Nurse based in Porterdale, Georgia. Callie Denise Clegg is licensed to practice in Georgia (license number 174562) and her current practice location is
1052 Main St, Porterdale, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 640-6042.
NPI number for Callie Denise Clegg is 1073335592 and her current mailing address is 1052 Main St, Porterdale, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073335592.
Provider's Profile
Full Name | Callie Denise Clegg |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1052 Main St, Porterdale, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073335592
- Provider Enumeration Date: 10/28/2024
- Last Update Date: 10/28/2024
Medical Identifiers
Medical identifiers for Callie Denise Clegg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073335592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 174562 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Callie Denise Clegg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Callie Denise Clegg, RN 1052 Main St, Porterdale, GA 30014-3439 Ph: (404) 640-6042 | Callie Denise Clegg, RN 1052 Main St, Porterdale, GA 30014-3439 Ph: (404) 640-6042 |
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