| Glenwood Family Practice And Occupational Health Center, Inc | |
|
101 Professional Dr West Monroe LA 71291-8309 | |
| (318) 387-5244 | |
| (318) 387-5246 |
| Full Name | Glenwood Family Practice And Occupational Health Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Professional Dr, West Monroe, Louisiana |
| Authorized Official Name and Position | George Ronald Woods (PRESIDENT) |
| Authorized Official Contact | 3183875244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Family Practice And Occupational Health Center, Inc 101 Professional Dr West Monroe LA 71291-8309 Ph: (318) 387-5244 | Glenwood Family Practice And Occupational Health Center, Inc 101 Professional Dr West Monroe LA 71291-8309 Ph: (318) 387-5244 |
| NPI Number | 1992839054 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992839054 | NPI | - | NPPES |
| 1107646 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 011116 (Louisiana) | Primary |
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