Individual provider · Type 1 NPI

Evetta Lavern Borden, DPM

Foot Surgery Podiatrist · Shreveport, LA

NPI number 1215946702 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Call (912) 977-0584 Map

Mailing address

614 Westmoreland Dr
Hinesville, GA 31313-4419

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131XPOD000770 (GA)

Foot Surgery Podiatrist: Definition to come...

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About NPI 1215946702

Evetta Lavern Borden, DPM's National Provider Identifier is 1215946702, issued on Aug 5, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Shreveport, LA. The record was last updated on Sep 1, 2023.