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Individual

SAMUEL K ABSHIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
926 FRANCES DR, HAYNESVILLE, LA 71038-6100
(318) 624-0554
(318) 624-3782
Mailing address
926 FRANCES DR, HAYNESVILLE, LA 71038-6100
(318) 624-0554
(318) 624-3782

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
016313
LA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
016313
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110320001
AR
05
1336491
LA
Enumeration date
06/28/2006
Last updated
10/14/2021
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