| Shs Physician Group | |
|
4363 Convention Street Baton Rouge LA 70806 | |
| (225) 522-4076 | |
| (225) 448-2733 |
| Full Name | Shs Physician Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4363 Convention Street, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Christina Ryan (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3373455110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shs Physician Group 425 Ashley Ridge Blvd Shereport LA 71106 Ph: (318) 841-2619 | Shs Physician Group 4363 Convention Street Baton Rouge LA 70806 Ph: (225) 522-4076 |
| NPI Number | 1639547243 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639547243 | NPI | - | NPPES |
| 2700081 | Medicaid | LA | |
| 2432559 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2203781725 (Louisiana) | Primary |
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