Susan Michelle Self, MD

NPI #1023047149 in Shreveport, Louisiana

Provider Information

NPI Number: 1023047149
Entity Type: Individual
Name: Susan Michelle Self, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 1, 2006
Last Updated: Dec 18, 2007

Practice Location

Address: 8001 YOUREE DR
Address 2: SUITE 540
City: Shreveport
State: Louisiana
ZIP Code: 71115-2302
Phone: (318) 212-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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