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Thea Pennywell, PA
NPI 1295038149 · on the registry since 2010
Practice
- Address
- 7925 Youree Dr
Suite 220
Shreveport, LA 71105 - Phone
- (318) 424-3400
- Fax
- (318) 629-8712
- Organisation at this address
- Orthorx, Inc.
Wk Orthopedic Clinic
Wk Mid South Orthopedics
R Shane Barton Md And Willis-Knighton Medical Center
Cambize Shahrdar Md And Willis-Knighton Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana