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Evetta Lavern Borden, DPM
Foot Surgery Podiatrist in Shreveport, Louisiana
NPI 1215946702

Evetta Lavern Borden is a Foot Surgery Podiatrist based in Hinesville, LA and is specialized in Foot Surgery. Evetta Lavern Borden practices in Shreveport, LA and has the professional credentials of DPM. The NPI Number for Evetta Lavern Borden is 1215946702 and holds a License No. POD000770 (Louisiana).

The current practice location address for Evetta Lavern Borden is 510 E Stoner Ave, Shreveport, LA and can be reached out via phone at 912-977-0584.

Location: 510 E Stoner Ave, Shreveport, LA, 31313-4419
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Provider Profile Details
NPI Number
1215946702
Provider Name
Evetta Lavern Borden
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
510 E Stoner Ave, Shreveport, LA, 31313-4419
Phone Number
912-977-0584
Fax Number
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00719804B 05 GA
institution
Provider Business Practice Location Address Details
Address
510 E Stoner Ave
City
State
Zip
71101-4243
Phone Number
912-977-0584
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Stoner Ave
City
State
Zip
71101-4243
Phone Number
912-977-0584
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
POD000770 (Georgia)
Definition
Definition to come...
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