Individual
SHANNON CALDWELL CLEMONS GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 842-6089
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
039.146919
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
323811
LA
Other
Enumeration date
05/22/2015
Last updated
10/08/2024
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