| Family Medical Clinic Of Mer Rouge | |
|
205 South Davenport Ave Mer Rouge LA 71261 | |
| (318) 647-3720 | |
| (318) 647-5728 |
| Full Name | Family Medical Clinic Of Mer Rouge |
|---|---|
| Speciality | Family Medicine |
| Location | 205 South Davenport Ave, Mer Rouge, Louisiana |
| Authorized Official Name and Position | George Wyatt Webb (OWNER) |
| Authorized Official Contact | 3186473720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Of Mer Rouge 205 S Davenport Avenue Mer Rouge LA 71261 Ph: (318) 647-3720 | Family Medical Clinic Of Mer Rouge 205 South Davenport Ave Mer Rouge LA 71261 Ph: (318) 647-3720 |
| NPI Number | 1346360013 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346360013 | NPI | - | NPPES |
| 1949434 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017205 (Louisiana) | Primary |
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