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Individual

SARAH ELIZABETH WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2400 HOSPITAL DR STE 130, BOSSIER CITY, LA 71111-2386
(318) 212-7990
(318) 212-7995
Mailing address
P.O. BOX 3038, SHREVEPORT, LA 71133-3038
(318) 212-8232
(318) 212-4153

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
201053
LA
208M00000X
Hospitalist Physician
Primary
201053
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1071901
LA
Enumeration date
05/23/2007
Last updated
06/17/2021
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