NPI 1023047149

Susan Michelle Self, MD

Practitioner Family Medicine Physician Shreveport, LA

Practice location

Address: 8001 Youree Dr Suite 540, Shreveport, LA 71115-2302
Phone: (318) 212-3810
Fax: (318) 212-3815

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 023219 (LA)

Other Family Medicine providers in Louisiana →

Registry record

NPI: 1023047149
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2006
Record last updated: 18 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.