| Heartwise Of Alexandria Llc | |
|
301 4th St Suite A Alexandria LA 71301-8423 | |
| (318) 709-9051 | |
| (866) 815-4529 |
| Full Name | Heartwise Of Alexandria Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 4th St, Alexandria, Louisiana |
| Authorized Official Name and Position | Michael J Screpetis (MEMBER) |
| Authorized Official Contact | 3184459823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartwise Of Alexandria Llc 301 4th St Box 30134 Alexandria LA 71301-8423 Ph: (318) 709-9051 | Heartwise Of Alexandria Llc 301 4th St Suite A Alexandria LA 71301-8423 Ph: (318) 709-9051 |
| NPI Number | 1174867402 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174867402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 018528 (Louisiana) | Primary |
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