SOUTHERN PEDIATRIC CLINIC is a primary care clinic center in Shreveport, LA. SOUTHERN PEDIATRIC CLINIC NPI is 1508237256. The provider is registered as an organization entity type.
The provider's business location address is:
4571 N MARKET ST
SHREVEPORT, LA
ZIP 71107-917
Phone: (318) 934-0097
The provider's authorized official is Stella Grace Immanuel .
The authorized official title is Md and has the following contact phone number (318) 730-9760.
The enumeration date for this NPI number is 10/7/2015 and was last updated on 10/7/2015.