Individual
CARLA D. RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 646-5189
(318) 212-7505
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(318) 212-4192
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
025056
LA
207P00000X
Emergency Medicine Physician
Primary
MD.025056
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03938727
—
MS
05
—
1421871
—
LA
Enumeration date
12/21/2005
Last updated
11/03/2011
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