Individual
MEGAN L COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7591 FERN AVE, SUITE 1705, SHREVEPORT, LA 71105-5750
(318) 550-3398
(318) 550-3481
Mailing address
7591 FERN AVE, SUITE 1705, SHREVEPORT, LA 71105-5750
(318) 550-3398
(318) 550-3481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200636
LA
Other
Enumeration date
07/26/2013
Last updated
11/04/2013
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