Individual
DR. VIRGINIA HOMZA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 OLIVE ST, SHREVEPORT, LA 71104
(318) 698-3291
(318) 698-3293
Mailing address
WK PEDIATRIC HEALTH & WELLNESS, 909 OLIVE STREET, SHREVEPORT, LA 71104-2103
(318) 698-3291
(318) 698-3293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.206164
LA
208000000X
Pediatrics Physician
T-2322
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2340379
—
LA
Enumeration date
07/09/2010
Last updated
06/21/2021
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