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Search › Louisiana › 171M00000X

Dwayne Jeter

NPI 1487100194 · on the registry since 2016 · sole proprietor

Practice

Address
7505 Pines Rd Ste 1200i
Shreveport, LA 71129
Phone
(318) 716-1707
Organisation at this address
Esit, Llc
Shepherds Heart
Provider Care Inc.
Kde Enterprises, Llc
Lacam Enterprise Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
89

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Sex
Male
Record last updated
2018-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana