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1790315026
CODY TINGLE MD LLC
SHREVEPORT, LA
NPI
1790315026
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Entity Type
Organization
Authorized Contact
CODY TINGLE
Physician
318-208-1804
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2020-01-26
Last Update Date
2020-01-26
Business Address
CODY TINGLE MD LLC
535 PIERREMONT RD
SHREVEPORT, LA 71106-2207
Phone number: 318-208-1804
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Mailing Address
CODY TINGLE MD LLC
PO BOX 19284
SHREVEPORT, LA 71149-0284
Phone number: 318-773-0657
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