Geriatric Medical Corporation
Clinic/Center in Shreveport, LA(View on Map)
Legal Business Name
Geriatric Medical Corporation
NPI Number
1215185855
NPI Type
Organization
Enumeration Date
09/08/2008
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
L010682
Contact
Information
Purpose
Mailing
Location
Address
1300 GRIMMETT DR
7813 YOUREE DR
City
Shreveport
Shreveport
State
LA
LA
Postal Code
71107-6502
71105-5505
Country
US
US
Telephone Number
(318) 212-3830
(318) 212-3830
Authorized Official
Name
Dr. David Henry
Title or Position
PHYSICIAN
Telephone Number
(318) 212-3830
Identifiers
Identifier
1096156
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/08/2008
Provider Address
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