person
Mrs. Shannon Ballard Callaway, PA-C
Medical Physician Assistant in Roswell, New Mexico
NPI 1144224932

Shannon Ballard Callaway is a Medical Physician Assistant based in Roswell, NM and is specialized in Medical. Shannon Ballard Callaway practices in Roswell, NM and has the professional credentials of PA-C. The NPI Number for Shannon Ballard Callaway is 1144224932 and holds a License No. COO2607 (New Mexico).

The current practice location address for Shannon Ballard Callaway is 300 W Country Club Rd Ste 130, Roswell, NM and can be reached out via phone at 575-625-2669 and via fax at 575-624-4632.

Location: 300 W Country Club Rd Ste 130, Roswell, NM, 88201-5249
person
Provider Profile Details
NPI Number
1144224932
Provider Name
Shannon Ballard Callaway
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
300 W Country Club Rd Ste 130, Roswell, NM, 88201-5249
Phone Number
575-625-2669
Fax Number
575-624-4632
Provider Enumeration Date
06/09/2005
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
300 W Country Club Rd Ste 130
City
State
Zip
88201-5249
Phone Number
575-625-2669
Fax Number
575-624-4632
person
Provider Business Mailing Address Details
Address
300 W Country Club Rd Ste 130
City
State
Zip
88201-5249
Phone Number
575-625-2669
Fax Number
575-624-4632
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
COO2607 (Maryland)
Definition
Definition to come...
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