SOUTHERN PEDIATRIC CLINIC

SHREVEPORT, LA
NPI1528432440
Doing Business AsSOUTHERN PEDIATRIC CLINIC
Entity TypeOrganization
Authorized ContactSTELLA IMMANUEL
Owner
318-730-9760
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: LA  MD12866R)
Enumeration Date2015-11-16
Last Update Date2015-11-16
Business Address
SOUTHERN PEDIATRIC CLINIC
202 N THOMAS DR SUITE 1
SHREVEPORT, LA 71107-6539
Phone number: 318-221-0277
Mailing Address
SOUTHERN PEDIATRIC CLINIC
202 N THOMAS DR SUITE 1
SHREVEPORT, LA 71107-6539
Phone number: 318-221-0277
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