Organization
BREAST CARE SPECIALISTS AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER S. SOCKRIDER MD (PRINCIPAL OFFICER)
(318) 687-7117
Entity
Organization
Contact information
Practice address
820 JORDAN ST STE 210, SHREVEPORT, LA 71101-4519
(318) 687-7117
Mailing address
820 JORDAN ST STE 210, SHREVEPORT, LA 71101-4519
(318) 524-9565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
02/12/2024
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