| Gordon Ellis White Ii Md Llc | |
|
301 W Boundary Ave Winnfield LA 71483-3427 | |
| (318) 648-3034 | |
| (318) 648-3104 |
| Full Name | Gordon Ellis White Ii Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 W Boundary Ave, Winnfield, Louisiana |
| Authorized Official Name and Position | Gordon E White (OWNER) |
| Authorized Official Contact | 3188014070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Ellis White Ii Md Llc 301 W Boundary Ave Winnfield LA 71483-3427 Ph: (318) 648-3034 | Gordon Ellis White Ii Md Llc 301 W Boundary Ave Winnfield LA 71483-3427 Ph: (318) 648-3034 |
| NPI Number | 1881024933 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 11/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881024933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.025398 (Louisiana) | Primary |
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