Individual
MARY BETH MCGANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
7607 FERN AVE STE 204D, SHREVEPORT, LA 71105-5699
(318) 797-3350
(318) 797-3353
Mailing address
10120 THORNWOOD CIR, SHREVEPORT, LA 71106-7679
(318) 286-4917
(318) 797-3353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
025072
LA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
025072
LA
Other
Enumeration date
08/12/2006
Last updated
11/13/2018
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