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 601 W Country Club Rd Ste 201, Roswell, NM and can be reached out via phone at 575-627-0535 and via fax at 575-627-5590. You can also correspond with Shannon Ballard Callaway through the mailing address at 601 W COUNTRY CLUB RD STE 201, ROSWELL, NM - 88201-5225 (mailing address contact number: 575-627-0535).

Location: 601 W Country Club Rd Ste 201, Roswell, NM, 88201-5225
person
Provider Profile Details
NPI Number
1144224932
Provider Name
Shannon Ballard Callaway
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
601 W Country Club Rd Ste 201, Roswell, NM, 88201-5225
Phone Number
575-627-0535
Fax Number
575-627-5590
Provider Enumeration Date
06/09/2005
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
601 W Country Club Rd Ste 201
City
State
Zip
88201-5225
Phone Number
575-627-0535
Fax Number
575-627-5590
person
Provider Business Mailing Address Details
Address
601 W Country Club Rd Ste 201
City
State
Zip
88201-5225
Phone Number
575-627-0535
Fax Number
575-627-5590
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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