MELANIE C FREDERICK

SHREVEPORT, LA
NPI1407882178
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-687-5277
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-06-24
Last Update Date2020-08-22
Business Address
MELANIE C FREDERICK
2508 BERT KOUNS LOOP SUITE 103
SHREVEPORT, LA 71118-3133
Phone number: 318-687-5277
Mailing Address
MELANIE C FREDERICK
2508 BERT KOUNS LOOP SUITE 103
SHREVEPORT, LA 71118-3133
Phone number: 318-687-5277
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