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Shannan Gros

NPI 1841052560 · on the registry since 2024

Practice

Address
201 W 7th St Ste 7
Thibodaux, LA 70301
Phone
(985) 228-6223
Fax
(985) 228-6230
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-29

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