| Natchez Regional Clinic | |
|
1806 Carter St Vidalia LA 71373-3115 | |
| (318) 336-8166 | |
| Not Available |
| Full Name | Natchez Regional Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1806 Carter St, Vidalia, Louisiana |
| Authorized Official Name and Position | Gary Mullins (ADMINISTRATOR) |
| Authorized Official Contact | 6014315554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natchez Regional Clinic Po Box 14149 Baton Rouge LA 70898-4149 Ph: (225) 924-9827 | Natchez Regional Clinic 1806 Carter St Vidalia LA 71373-3115 Ph: (318) 336-8166 |
| NPI Number | 1780868760 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780868760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD200671 (Louisiana) | Primary |
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