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4800 S Grand St Monroe LA 71202-6412 | |
(318) 362-3339 | |
(318) 362-3336 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 4800 S Grand St, Monroe, Louisiana |
Authorized Official Name and Position | Octavia Green (ADMINISTRATIVE PROGRAM SPECIALIST B) |
Authorized Official Contact | 3183623270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4800 S Grand St Monroe LA 71202-6412 Ph: (318) 362-3339 | 4800 S Grand St Monroe LA 71202-6412 Ph: (318) 362-3339 |
NPI Number | 1124772009 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 08/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124772009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |