Montgomery Clinic Llc | |
641 Rowena St Montgomery LA 71454 | |
(318) 354-9348 | |
Not Available |
Full Name | Montgomery Clinic Llc |
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Speciality | Internal Medicine |
Location | 641 Rowena St, Montgomery, Louisiana |
Authorized Official Name and Position | Mary I Long (OFFICER) |
Authorized Official Contact | 3183549348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montgomery Clinic Llc 114 E 5th St Natchitoches LA 71457-5725 Ph: (318) 354-9348 | Montgomery Clinic Llc 641 Rowena St Montgomery LA 71454 Ph: (318) 354-9348 |
NPI Number | 1730320946 |
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Provider Enumeration Date | 03/18/2009 |
Last Update Date | 03/18/2009 |
Identifier | Type | State | Issuer |
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1730320946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 022285 (Louisiana) | Primary |
Montgomery Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 641 Rowena St, Montgomery, LA 71454 Phone: 318-646-3000 |