Organization
GENESIS NEPHROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISA TURNER JOHNSON MD (PHYSICIAN)
(318) 221-2707
Entity
Organization
Contact information
Practice address
1560 IRVING PL, SHREVEPORT, LA 71101-4604
(318) 221-2707
(318) 221-2709
Mailing address
1560 IRVING PL, SHREVEPORT, LA 71101-4604
(318) 221-2707
(318) 221-2709
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
023908
LA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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