Organization
SPG CAPITAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN GRANGER MD (OWNER)
(337) 392-2330
Entity
Organization
Contact information
Practice address
908 S 10TH ST STE A, LEESVILLE, LA 71446-4614
(337) 392-2330
Mailing address
908 S 10TH ST STE A, LEESVILLE, LA 71446-4614
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
07/22/2020
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