| Davies Family Medicine | |
|
1114 Stelly Ln Sulphur LA 70663-5139 | |
| (337) 528-7316 | |
| (337) 528-7884 |
| Full Name | Davies Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1114 Stelly Ln, Sulphur, Louisiana |
| Authorized Official Name and Position | Andrew T Davies (OWNER) |
| Authorized Official Contact | 3375287316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davies Family Medicine 1114 Stelly Ln Sulphur LA 70663-5139 Ph: (337) 528-7316 | Davies Family Medicine 1114 Stelly Ln Sulphur LA 70663-5139 Ph: (337) 528-7316 |
| NPI Number | 1124410998 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 7113246927 |
|---|---|
| Medicare Enrollment ID | O20150429000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124410998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew T Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881918829 PECOS PAC ID: 4688835556 Enrollment ID: I20120420000018 |
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