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Contact Information

VICTORIA L EVERTON, MD
2530 BERT KOUNS LOOP
SUITE 138
SHREVEPORT, LA71118-3132
 Phone: 318-212-5911
 Fax: 318-212-5168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VICTORIA L EVERTON · (Female)

NPI Number 1952339038
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 06/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 11085R
  • LA License # MD11085R
  • LA Medicaid 1584258
Hospital affiliation(s)
  • LSU HEALTH SCIENCES CENTER - SHREVEPORT - (Acute Care)
    1541 KINGS HIGHWAY
    SHREVEPORT, LA 71103
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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