Individual
CALEB SCHEDULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 482-4955
Mailing address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 482-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-20302
AR
390200000X
Student in an Organized Health Care Education/Training Program
37061
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
05/14/2026
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