Organization
GPN FERRIDAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BEDDOE (CEO)
(337) 936-8920
Entity
Organization
Contact information
Practice address
1700 EE WALLACE BLVD N, FERRIDAY, LA 71334-2239
(318) 757-6551
Mailing address
504 TEXAS ST, STE 200, SHREVEPORT, LA 71101-3524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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