Eddie Smith Md A Prof Med Corp | |
103 Picciola Pkwy Cut Off LA 70345-3572 | |
(985) 325-6226 | |
Not Available |
Full Name | Eddie Smith Md A Prof Med Corp |
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Speciality | Clinic/Center |
Location | 103 Picciola Pkwy, Cut Off, Louisiana |
Authorized Official Name and Position | Rachael Angeron (OFFICE MANAGER) |
Authorized Official Contact | 9853256226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eddie Smith Md A Prof Med Corp 103 Picciola Pkwy Cut Off LA 70345-3572 Ph: (985) 325-6226 | Eddie Smith Md A Prof Med Corp 103 Picciola Pkwy Cut Off LA 70345-3572 Ph: (985) 325-6226 |
NPI Number | 1558760785 |
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Provider Enumeration Date | 08/13/2014 |
Last Update Date | 01/21/2016 |
Medicare PECOS PAC ID | 7719200203 |
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Medicare Enrollment ID | O20150109000291 |
Identifier | Type | State | Issuer |
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1558760785 | NPI | - | NPPES |
1357464 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Eddie M Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700908241 PECOS PAC ID: 8325026040 Enrollment ID: I20040709000721 |
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