| Sbc Physician Group | |
|
4201 Woodland Drive New Orleans LA 70131 | |
| (504) 393-4223 | |
| (504) 267-5692 |
| Full Name | Sbc Physician Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4201 Woodland Drive, New Orleans, Louisiana |
| Authorized Official Name and Position | Johnny D. Lancaster (CFO) |
| Authorized Official Contact | 3188412619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbc Physician Group 101 Feu Follet Drive Suite 100 Lafayette LA 70503 Ph: (337) 234-8455 | Sbc Physician Group 4201 Woodland Drive New Orleans LA 70131 Ph: (504) 393-4223 |
| NPI Number | 1902274525 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902274525 | NPI | - | NPPES |
| 2700073 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2203781725 (Louisiana) | Primary |
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