Shannondale of Alexandria, INC.

Practice location

Address

5131 Masonic Dr, Alexandria, LA 71301-3366

Phone

(318) 445-8343

Fax

(318) 445-8527

Authorised official

Name

Michael R. Hathorn

Title

Nfa

Phone

(318) 445-8343

Registered specialties

Registry record

NPI

1083722193

Entity type

Organization

NPI issued

28 Aug 2006

Record last updated

2 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.