Mrs. Shelly C Mccormick
M.D. | Pediatric Adolescent Medicine | Female
Mrs. Shelly C Mccormick, M.D. is a West Monroe, Louisiana based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mrs. Shelly C Mccormick is
503 Mcmillan Rd, West Monroe, Louisiana - 71291. She can be contacted on phone at
318-329-8310 and fax number 318-329-8313.
Mrs. Shelly C Mccormick is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Shelly C Mccormick is
1790778496 which was assigned by NPPES on 26 Aug, 2005 and it was last updated on 23 Feb, 2023.
Mrs. Shelly C Mccormick license number is
021354 for Pediatrics, Adolescent Medicine (2080A0000X) in Louisiana.
Mrs. Shelly C Mccormick specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mrs. Shelly C Mccormick basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Mrs. Shelly C Mccormick |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Shelly C Mccormick address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 503 Mcmillan Rd
West Monroe, LA, 71291
United States |
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| Phone Number : | 318-329-8310 |
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| Fax Number : | 318-329-8313 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790778496 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Aug, 2005 |
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| Last Updated On : | 23 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Shelly C Mccormick are as mentioned. Primary taxonomy code for Mrs. Shelly C Mccormick, M.D. is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 30575 | MS |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 021354 | LA |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 30575 | MS |
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | 021354 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Shelly C Mccormick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1551104 | MEDICAID | LA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1100 BELK BLVD,
OXFORD, MS, 38655-5242
United States | OXFORD, MS | 662-636-1090 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3811 Woodside Dr
Monroe, LA, 71201
United States |
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| Phone Number : | 318-398-7326 |
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Business Location:
Patients can refer following map for directions to
Mrs. Shelly C Mccormick practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.