Individual
CARLIE MICHELLE CALLAIS-LAGARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
449 W 54TH ST, CUT OFF, LA 70345-3225
(985) 258-1994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-5681
MS
Other
Enumeration date
03/27/2025
Last updated
07/01/2025
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