Individual
DR. CARRIE L. BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2915 MISSOURI AVE., SHREVEPORT, LA 71109
(318) 364-2000
Mailing address
PO BOX 731280, DALLAS, TX 75373-1280
(318) 841-9532
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13513
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1432571
—
LA
Enumeration date
10/10/2005
Last updated
04/04/2012
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