Individual
JOHN B CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 103, SHREVEPORT, LA 71101-4443
(318) 841-3937
(318) 841-2505
Mailing address
PO BOX 1062, SHREVEPORT, LA 71163-1062
(318) 841-3937
(318) 841-2505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
201034
LA
Other
Enumeration date
05/22/2007
Last updated
10/14/2009
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