CODY TINGLE MD LLC

SHREVEPORT, LA
NPI1790315026
Entity TypeOrganization
Authorized ContactCODY TINGLE
Physician
318-208-1804
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2020-01-26
Last Update Date2020-01-26
Business Address
CODY TINGLE MD LLC
535 PIERREMONT RD
SHREVEPORT, LA 71106-2207
Phone number: 318-208-1804
Mailing Address
CODY TINGLE MD LLC
PO BOX 19284
SHREVEPORT, LA 71149-0284
Phone number: 318-773-0657