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1194292516
SOUTHERN KIDNEY ASSOCIATES PLLC
SHREVEPORT, LA
NPI
1194292516
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Entity Type
Organization
Authorized Contact
TIFFANY HAGOOD
Practice Administrator
903-234-9992
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2018-10-24
Last Update Date
2021-10-06
Business Address
SOUTHERN KIDNEY ASSOCIATES PLLC
1815 E 70TH ST
SHREVEPORT, LA 71105-5301
Phone number: 800-276-9017
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Mailing Address
SOUTHERN KIDNEY ASSOCIATES PLLC
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605-0037
Phone number: 800-276-9017
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