Individual
CHERIE-ANN OLYMPIA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2690
(318) 813-2692
Mailing address
1501 KINGS HWY, DEPARTMENT OF OTOLARYNGOLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2690
(318) 813-2692
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11352R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669920
—
LA
Enumeration date
07/11/2006
Last updated
07/31/2009
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