institution
Cherise A Irby, Md
Specialist in Shreveport, Louisiana
NPI 1619157054

Cherise A Irby, Md is a Specialist based in Shreveport, LA. Cherise A Irby, Md practices in Shreveport, LA. The NPI Number for Cherise A Irby, Md is 1619157054 and holds a License No. 024995 (Louisiana).

The current practice location address for Cherise A Irby, Md is 1801 Fairfield Ave, Shreveport, LA and can be reached out via phone at 318-629-4729 and via fax at 318-629-4730.

Location: 1801 Fairfield Ave, Shreveport, LA, 71101-4443
institution
Provider Profile Details
NPI Number
1619157054
Provider Name
Cherise A Irby, Md
Credential
Provider Entity Type
Organization
Address
1801 Fairfield Ave, Shreveport, LA, 71101-4443
Phone Number
318-629-4729
Fax Number
318-629-4730
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0402562 01 LA UNITED HEALTHCARE
1423301 05 LA
273431 01 LA COVENTRY
P00023608 01 LA RAILROAD MEDICARE
7483495 01 LA AETNA
institution
Provider Business Practice Location Address Details
Address
1801 Fairfield Ave
City
State
Zip
71101-4443
Phone Number
318-629-4729
Fax Number
318-629-4730
person
Provider Business Mailing Address Details
Address
1801 Fairfield Ave
City
State
Zip
71101-4443
Phone Number
318-629-4729
Fax Number
318-629-4730
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
024995 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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