Provider Demographics
NPI:1932376068
Name:MCCALL, REBECCA C (DNM)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:C
Last Name:MCCALL
Suffix:
Gender:F
Credentials:DNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20721 TORRENCE CHAPEL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6398
Mailing Address - Country:US
Mailing Address - Phone:704-237-3580
Mailing Address - Fax:704-237-3580
Practice Address - Street 1:20721 TORRENCE CHAPEL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6398
Practice Address - Country:US
Practice Address - Phone:704-237-3580
Practice Address - Fax:704-237-3580
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2813-140175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath