Cornelius, Angela Pettit

Cornelius, Angela Pettit is an individual health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Cornelius, Angela Pettit can be contacted via phone (318) 675-5000.

Contact Information

Primary practice address
1501 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP1-0018144 Texas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M6338 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.205908 Louisiana

Profile Details

NPI number 1730383316
LBN Legal business name Cornelius, Angela Pettit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jan 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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