Individual
INITA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7505 PINES RD STE 1104, SHREVEPORT, LA 71129
(318) 670-8313
(318) 828-1196
Mailing address
7505 PINES RD STE 1104, SHREVEPORT, LA 71129-3900
(318) 670-8313
(318) 828-1196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
207Q00000X
Family Medicine Physician
1538544390
LA
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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