Complete Care Of St Gabriel Llc | |
735 Highway 30 Ste B Saint Gabriel LA 70776-5015 | |
(601) 665-4162 | |
(855) 830-3484 |
Full Name | Complete Care Of St Gabriel Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 735 Highway 30 Ste B, Saint Gabriel, Louisiana |
Authorized Official Name and Position | John C Duke (COO) |
Authorized Official Contact | 6016654162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Complete Care Of St Gabriel Llc 215 Katherine Dr Ste A Flowood MS 39232-9588 Ph: (601) 665-4162 | Complete Care Of St Gabriel Llc 735 Highway 30 Ste B Saint Gabriel LA 70776-5015 Ph: (601) 665-4162 |
NPI Number | 1407679921 |
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Provider Enumeration Date | 11/04/2024 |
Last Update Date | 11/04/2024 |
Certification Date | 11/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407679921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |