Organization
G. KEITH CHRISTY, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE S. SHIELDS (OFFICE MANAGER)
(318) 747-4988
Entity
Organization
Contact information
Practice address
2400 HOSPITAL DR STE 260, BOSSIER CITY, LA 71111-2390
(318) 747-4988
(318) 747-1185
Mailing address
2400 HOSPITAL DR STE 260, BOSSIER CITY, LA 71111-2390
(318) 747-4988
(318) 747-1185
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
016819
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1354481
—
LA
Enumeration date
07/09/2008
Last updated
07/09/2008
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