Search › North Carolina › 363A00000X
Jordan Callais
NPI 1558125179 · on the registry since 2024
Practice
- Address
- 6 Doctors Cir Ste 5
Supply, NC 28462 - Phone
- (910) 721-4370
- Fax
- (910) 721-4379
- Organisation at this address
- Coastal Horizons Center Inc.
Novant Health Medical Group, Llc
Brunswick Surgical Associates, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 149 Ralph Williams Rd, Prosperity, SC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina