Organization
GPN MANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D HUCKABEE (CEO)
(318) 469-1132
Entity
Organization
Contact information
Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
Mailing address
PO BOX 3923, SHREVEPORT, LA 71133-3923
(888) 447-2450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147463
—
LA
01
—
DR4815
RAILROAD MEDICARE
LA
Enumeration date
04/01/2011
Last updated
09/16/2011
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