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NPI Code Detail

MEDICARE: CHANDRA PARISH-GREEN

MEDICARE: CHANDRA PARISH-GREEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1184094328
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRA PARISH-GREEN
Provider Business Mailing Address
First Line : 176 WHEEL BARROW RD
Second Line :
City : COTTON VALLEY
State : LA
Zip : 71018-2704
Country : US
Telephone Number : 318-572-0770
Fax Number :
Provider Business Practice Location Address
First Line : 9403 MANSFIELD RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-3815
Country : US
Telephone Number : 318-861-8938
Fax Number : 318-862-3554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 07/05/2022

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Directions to “ CHANDRA PARISH-GREEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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