Organization
JENNIFER R. MCCANN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN COOPER (INSURANCE)
(337) 463-5582
Entity
Organization
Contact information
Practice address
206 W 5TH ST, DERIDDER, LA 70634-4856
(337) 463-5582
(337) 460-1348
Mailing address
206 W 5TH ST, DERIDDER, LA 70634-4856
(337) 463-5582
(337) 460-1348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
201272
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093271
—
LA
Enumeration date
06/30/2009
Last updated
06/30/2009
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