Individual
JONATHAN SHEFFIELD EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8546
(318) 212-4153
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8546
(318) 212-4153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.207978
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD.207978
LA
Other
Enumeration date
04/09/2012
Last updated
08/21/2023
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