Southern Pediatric Clinic
Southern Pediatric Clinic is a Primary Care Clinic/Center in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.
- Licensed in
- LA
- In the registry since
- 2015
Practice location Address checks out
4571 N Market StShreveport, LA 71107-2917
Phone: (318) 934-0097
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence MD12866R (LA) |
|---|
Record details
| NPI number | 1508237256 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stella Immanuel — Md · (318) 730-9760 |
| NPI enumerated | October 7, 2015 |
| Last updated in NPPES | October 7, 2015 |
| Mailing address | 4571 N Market St, Shreveport, LA 71107-2917 |
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