Organization
NORTH LOUISIANA INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES P WEDRNER M.D. (PHYSICIAN)
(318) 673-8320
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 400, SHREVEPORT, LA 71118-3133
(318) 673-8320
(318) 681-7975
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 400, SHREVEPORT, LA 71118-3133
(318) 673-8320
(318) 681-7975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
LA
Other
Enumeration date
10/05/2011
Last updated
02/17/2017
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