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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN MARIE SHATTUCK, M.D.

Active Sole Proprietor

DR. SUSAN MARIE SHATTUCK, M.D. is a Obstetrics & Gynecology healthcare provider located in SHREVEPORT, Louisiana. NPI 1962409508 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · SHREVEPORT, LA

Registration Details

NPI Number
1962409508
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2005 (21.103057872088 yrs)
Last Updated
May 18, 2011
License
013942 (LA)
Sole Proprietor
Yes

Practice Information

Address
8001 YOUREE DR
SUITE 350
SHREVEPORT, LA, 711152302
Browse LA providers · Browse ZIP 71115
Phone
3185240114
Fax
3185240195
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in SHREVEPORT, LA

Name Credential NPI
CLINT M CORMIER MD 1861496770
RUSSELL D BURLISON MD 1073517975
DR. BENNY M POPWELL M 1891799607
STEPHANIE ANN SOCKRIDER MD 1952306177
CHARLES DAVID ADAIR M.D 1811989098
FREDERICK JOHN KINDER JR. MD 1326030016
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.