Individual
DR. ANGELA PETTIT CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYORCREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.205908
LA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M6338
TX
207Q00000X
Family Medicine Physician
BP1-0018144
TX
207Q00000X
Family Medicine Physician
MD.205908
LA
Other
Enumeration date
06/14/2007
Last updated
07/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us