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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