Individual
MEGAN O'DELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 GREENWOOD RD, SUITE 350, SHREVEPORT, LA 71103-3981
(318) 212-8710
(318) 212-8699
Mailing address
2551 GREENWOOD RD, SUITE 350, SHREVEPORT, LA 71103-3981
(318) 212-8710
(318) 212-8699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200246
LA
Other
Enumeration date
11/26/2008
Last updated
06/17/2021
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