Individual
SHANNON MAURA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8415 GOODWOOD BLVD STE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
(225) 765-2033
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
13451
LA
2084N0600X
Clinical Neurophysiology Physician
13451
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1570249
—
LA
Enumeration date
07/25/2006
Last updated
05/20/2022
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