Individual
SHANNON RENEE FAULKINBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5665
(318) 212-5698
Mailing address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5665
(318) 212-5698
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME144400
FL
Other
Enumeration date
04/24/2014
Last updated
01/10/2025
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