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Southern Pediatric Clinic
Primary Care Clinic/Center in Shreveport, Louisiana
NPI 1508237256

Southern Pediatric Clinic is a Primary Care Clinic/Center based in Shreveport, LA and is specialized in Primary Care. Southern Pediatric Clinic practices in Shreveport, LA. The NPI Number for Southern Pediatric Clinic is 1508237256 and holds a License No. MD12866R (Louisiana).

The current practice location address for Southern Pediatric Clinic is 4571 N Market St, Shreveport, LA and can be reached out via phone at 318-934-0097.

Location: 4571 N Market St, Shreveport, LA, 71107-2917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508237256
Provider Name
Southern Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
4571 N Market St, Shreveport, LA, 71107-2917
Phone Number
318-934-0097
Fax Number
Provider Enumeration Date
10/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4571 N Market St
City
Shreveport
State
Louisiana
Zip
71107-2917
Phone Number
318-934-0097
Fax Number
person
Provider Business Mailing Address Details
Address
4571 N Market St
City
Shreveport
State
Louisiana
Zip
71107-2917
Phone Number
318-934-0097
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
MD12866R (Louisiana)
Definition
Definition to come...
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