Individual
CHERYL AUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 JORDAN ST STE 240, SHREVEPORT, LA 71101-4512
(877) 276-4846
(318) 252-0560
Mailing address
820 JORDAN ST STE 240, SHREVEPORT, LA 71101-4512
(877) 276-4846
(318) 252-0560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
023233
LA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
023233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495671
—
LA
Enumeration date
08/29/2006
Last updated
05/02/2024
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