Shenandoah Medical Associates, LLC

NPI #1114025194 in Baton Rouge, Louisiana

Provider Information

NPI Number
1114025194
Entity Type
Organization
Organization Name
Shenandoah Medical Associates, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Sep 21, 2006
Last Updated
Feb 26, 2014

Practice Location

Address
13828 COURSEY BLVD
ZIP Code
70817-1307
Phone
(225) 752-4530

Authorized Official

Name
GREGORY FERRARA
Title
LLC MEMBER
Phone
(225) 752-4530

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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