Shreveport Prime Care INC

NPI #1144454646 in Shreveport, Louisiana

Provider Information

NPI Number: 1144454646
Entity Type: Organization
Organization Name: Shreveport Prime Care INC
Primary Specialty: Internal Medicine
Enumeration Date: May 12, 2009
Last Updated: May 12, 2009

Practice Location

Address: 1513 LINE AVE # 240
City: Shreveport
State: Louisiana
ZIP Code: 71101-4621
Phone: (318) 402-2333

Authorized Official

Name: DEBBIE M JURGELSKY, MD
Title: PRESIDENT
Phone: (318) 402-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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