Individual provider · NPI-1
Gail M Amison, MD
Family Medicine · Shreveport, LA
NPI number1194760587
StatusActive
Last updated in NPPESApr 1, 2009
Details
- NPI
- 1194760587
- Entity type
- Individual (NPI-1)
- Name
- Gail M Amison
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2006
- Last updated
- Apr 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 15174R | LA | Yes |
Practice location
6821 Pines RdSuite 100
Shreveport, LA 71129-2547
Phone 318-687-5500 · Fax 318-687-5503
Mailing address
6821 Pines RdSuite 100
Shreveport, LA 71129-2547
Phone 318-687-5500 · Fax 318-687-5503
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