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Contact Information

SHELLY C MCCORMICK, MD
503 MCMILLAN RD
WEST MONROE, LA71291
 Phone: 318-329-8310
 Fax: 318-329-8313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHELLY C MCCORMICK · (Female)

NPI Number 1790778496
Status Active
Credentials MD
Entity Individual
Enumeration date 08/26/2005
Last updated 04/07/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0063225
  • CO License # DR.63225
  • LA License # 021354
  • MS License # 30575
  • OH License # 35C.000651
  • LA Medicaid 1551104
  • OH Medicaid 0024372
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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