Individual
DR. SHANA MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
311 VETERANS BLVD, SUITE B, DENHAM SPRINGS, LA 70726-4722
(225) 665-4554
(225) 665-6995
Mailing address
311 VETERANS BLVD, SUITE B, DENHAM SPRINGS, LA 70726-4722
(225) 665-4554
(225) 665-6995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
023680
LA
208000000X
Pediatrics Physician
Primary
023680
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484423
—
LA
Enumeration date
12/07/2005
Last updated
03/24/2021
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