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369 Muddy Bottoms Drive Sarepta LA 71071 | |
(318) 539-1000 | |
(318) 539-4085 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 369 Muddy Bottoms Drive, Sarepta, Louisiana |
Authorized Official Name and Position | Vincent Robert Sedmink (CEO) |
Authorized Official Contact | 3185391001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2001 Doctors Dr Springhill LA 71075-4526 Ph: (318) 539-1000 | 369 Muddy Bottoms Drive Sarepta LA 71071 Ph: (318) 539-1000 |
NPI Number | 1699191999 |
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Provider Enumeration Date | 03/11/2014 |
Last Update Date | 06/06/2014 |
Identifier | Type | State | Issuer |
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1699191999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 441 (Louisiana) | Primary |