| Minden Internal Medicine & Pediatrics, Llc | |
|
101 Office Park Dr Minden LA 71055-3088 | |
| (318) 377-2979 | |
| (318) 377-2596 |
| Full Name | Minden Internal Medicine & Pediatrics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Office Park Dr, Minden, Louisiana |
| Authorized Official Name and Position | Kelly M Carlisle (OWNER) |
| Authorized Official Contact | 3183772979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Internal Medicine & Pediatrics, Llc 101 Office Park Dr Minden LA 71055-3088 Ph: (318) 377-2979 | Minden Internal Medicine & Pediatrics, Llc 101 Office Park Dr Minden LA 71055-3088 Ph: (318) 377-2979 |
| NPI Number | 1154300275 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154300275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Louisiana) | Primary |
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