SOUTHERN PEDIATRIC CLINIC
Clinic/Center - Health Service
Active
Organization
NPI: 1104297720
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Health Service | 261QH0100X | Yes | MD12866R (LA) |
Frequently Asked Questions
NPI 1104297720 is the National Provider Identifier for SOUTHERN PEDIATRIC CLINIC, a Clinic/Center - Health Service provider located in Shreveport, LA. This NPI was enumerated on October 8, 2015.
Quick Facts
- NPI
- 1104297720
- Type
- Organization
- Enumerated
- Oct 8, 2015
- Last Updated
- Nov 3, 2015
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CHERISHA WILLIAMS, LPC
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ASHLEY KING, BCBA
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MR. CHARLES HARROLD I
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JOHN DRUMMOND, M.D.
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