Individual
MR. MICAH AARON CALLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
604 N. ACADIA ROAD, SUITE 200, THIBODAUX, LA 70301
(985) 448-3700
(985) 448-3900
Mailing address
604 N. ACADIA ROAD, SUITE 200, THIBODAUX, LA 70301
(985) 448-3700
(985) 448-3900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP09738
LA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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