Surgical Specialty Center, LLC
NPI #1316970916 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1316970916
- Entity Type
- Organization
- Organization Name
- Surgical Specialty Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Mar 31, 2008
Practice Location
- Address
- 1500 LINE AVE
- Address 2
- SUITE 204
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4639
- Phone
- (318) 629-5001
Authorized Official
- Name
- KANDI R MOORE, RN, CNOR
- Title
- ADMINISTRATOR
- Phone
- (318) 631-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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