Individual provider · Type 1 NPI

Shannon Ballard Callaway, PA-C

Medical Physician Assistant · Roswell, NM

NPI number 1144224932 Active

Practice location

300 W Country Club Rd Ste 130
Roswell, NM 88201-5249

Call (575) 625-2669 Map

Fax (575) 624-4632

Other practice locations

  • 601 W Country Club Rd Ste 201, Roswell, NM 88201-5225 · (575) 627-0535

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XCOO2607 (MD)
Medical Physician Assistant Primary 363AM0700XPA2022-0043 (NM)

Medical Physician Assistant: Definition to come...

3 other providers at this address

Other medical physician assistant providers in Roswell

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About NPI 1144224932

Shannon Ballard Callaway, PA-C's National Provider Identifier is 1144224932, issued on Jun 9, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roswell, NM. The record was last updated on Nov 5, 2024.