Organization
AHP OF NORTHWESTERN LOUISIANA LLC
Active
Organization
AHP OF NORTHWESTERN LOUISIANA LLC
Active
Other names
AHP of Northwestern Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY WACHOWIAK (PRESIDENT)
(770) 945-5330
Entity
Organization
Contact information
Practice address
385 BERT KOUNS INDUSTRIAL LOOP, BUILDING 300, SHREVEPORT, LA 71106-8158
(318) 212-0552
Mailing address
3079 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-2215
(770) 945-5330
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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