Individual
MEREDITH DEWITT WOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
9434 STONEBRIAR CIR, SHREVEPORT, LA 71115-3724
(318) 780-2114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202599
LA
207RI0200X
Infectious Disease Physician
Primary
202599
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078549
—
LA
Enumeration date
05/24/2007
Last updated
09/25/2023
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