| Family Doctors | |
|
1111 Medical Center Blvd Suite S850 Marrero LA 70072-3151 | |
| (504) 349-6450 | |
| (504) 349-6454 |
| Full Name | Family Doctors |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Medical Center Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Heidi A Gwinn (CREDENTIALING COORD.) |
| Authorized Official Contact | 5043491297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctors 1111 Medical Center Blvd Suite S850 Marrero LA 70072-3151 Ph: (504) 349-6450 | Family Doctors 1111 Medical Center Blvd Suite S850 Marrero LA 70072-3151 Ph: (504) 349-6450 |
| NPI Number | 1053486043 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053486043 | NPI | - | NPPES |
| 1942545 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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