Individual
MRS. SHARYE V ATCHISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2225 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 221-2225
(318) 459-2955
Mailing address
2225 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 221-2225
(318) 459-2955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024096
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I1571016/GRP 1794481
—
LA
Enumeration date
07/01/2005
Last updated
07/08/2007
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