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Individual

DR. SHAWN ROBERT SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2709 ATHANIA PKWY, METAIRIE, LA 70002-5903
(504) 301-4231
(504) 301-4253
Mailing address
2709 ATHANIA PKWY, METAIRIE, LA 70002-5903
(504) 301-4231
(504) 301-4253

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1142
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G9135
BLUE CROSS/SHIELD
LA
Enumeration date
05/20/2006
Last updated
07/08/2007
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