NPI 1144892381

Shefanie Raychel Moore

Practitioner Preferred Provider Organization Shreveport, LA

Practice location

Address: 2300 Greenwood Rd Attn: Recovery Audit, Shreveport, LA 71103
Phone: (318) 212-2695
Fax: (318) 212-2689

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1144892381
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2021
Record last updated: 12 Aug 2022

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.