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
202 N Thomas Dr Ste 1Shreveport, LA 71107-6539
Phone: (318) 221-0277
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 | 1528432440 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stella Immanuel — Owner · (318) 730-9760 |
| Other names | Southern Pediatric Clinic |
| NPI enumerated | November 16, 2015 |
| Last updated in NPPES | November 16, 2015 |
| Mailing address | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 |
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