| South Shreveport Family Medicine, Llc | |
|
8660 Fern Ave Ste 105 Shreveport LA 71105-5657 | |
| (318) 797-0009 | |
| (318) 797-0092 |
| Full Name | South Shreveport Family Medicine, Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 8660 Fern Ave Ste 105, Shreveport, Louisiana |
| Authorized Official Name and Position | Jon Charles Barnes (FNP) |
| Authorized Official Contact | 3183496728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shreveport Family Medicine, Llc 530 Red Baron Dr Shreveport LA 71115-3052 Ph: (318) 349-6728 | South Shreveport Family Medicine, Llc 8660 Fern Ave Ste 105 Shreveport LA 71105-5657 Ph: (318) 797-0009 |
| NPI Number | 1013217595 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013217595 | NPI | - | NPPES |
| 1131831 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |