Most Relevant Information
Provider Data
| NPI Number: | 1003446998 |
| Provider Name: | CASSANDRA NICOLE CALLOWAY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 23521 |
Most Important Dates
| Enumeration Date: | 01/20/2020 |
| Last Updated: | 11/04/2020 |
Provider Practice Location
201 W MEETING ST
LANCASTER
SC
297202379
Practice Location Phone/Fax
| Phone: | 8032864666 |
| Fax: |
Provider Mailing Location
PO BOX 603898
CHARLOTTE
NC
282603898
Provider Mailing Phone/Fax
| Phone: | 8437926200 |
| Fax: |