DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC

SHREVEPORT, LA
NPI1972058170
Entity TypeOrganization
Authorized ContactCHARLES C. CRENSHAW
President
318-212-1194
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2016-08-18
Last Update Date2016-08-18
Business Address
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194
Mailing Address
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-212-1194