SHREVEPORT FAMILY MEDICINE INC

SHREVEPORT, LA
NPI1003975079
Entity TypeOrganization
Authorized ContactSHELIA L. JACKSON
Administrator
318-686-3770
Organization Subpart ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
Enumeration Date2006-12-06
Last Update Date2008-06-16
Business Address
SHREVEPORT FAMILY MEDICINE INC
7505 PINES ROAD SUITE 1250
SHREVEPORT, LA 71129-3927
Phone number: 318-686-3770
Mailing Address
SHREVEPORT FAMILY MEDICINE INC
7505 PINES RD SUITE 1250
SHREVEPORT, LA 71129-3935
Phone number: 318-686-3770
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