Most Relevant Information
Provider Data
| NPI Number: | 1003387929 |
| Provider Name: | SHANNON H BARNES |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 2203782670 |
Most Important Dates
| Enumeration Date: | 12/17/2018 |
| Last Updated: | 12/17/2018 |
Provider Practice Location
302 RICHMOND ST
BOGALUSA
LA
704273942
Practice Location Phone/Fax
| Phone: | 9857322089 |
| Fax: | 9857322078 |
Provider Mailing Location
302 RICHMOND ST
BOGALUSA
LA
704273942
Provider Mailing Phone/Fax
| Phone: | 9857322089 |
| Fax: | 9857322078 |