Melanie C Frederick
NPI #1407882178 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1407882178
- Entity Type
- Organization
- Organization Name
- Melanie C Frederick
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2508 BERT KOUNS LOOP
- Address 2
- SUITE 103
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71118-3133
- Phone
- (318) 687-5277
Authorized Official
- Name
- GREG J. GAVIN
- Title
- NETWORK ADMINISTRATOR
- Phone
- (318) 687-5277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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