Organization
CHRISTOPHER SHELBY M D A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE LYNN SEBASTIAN (BILLING MANAGER)
(318) 872-0747
Entity
Organization
Contact information
Practice address
126 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-0747
Mailing address
PO BOX 958, MANSFIELD, LA 71052-0958
(318) 872-0747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
LA
207W00000X
Ophthalmology Physician
Primary
025412
LA
Other
Enumeration date
07/31/2006
Last updated
05/28/2008
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