New Life Medical Center | |
50057 Hwy 51 North Tickfaw LA 70466 | |
(985) 542-7392 | |
(985) 542-7393 |
Full Name | New Life Medical Center |
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Speciality | Family Medicine |
Location | 50057 Hwy 51 North, Tickfaw, Louisiana |
Authorized Official Name and Position | Miriam Song Stacey (OWNER) |
Authorized Official Contact | 9855427392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Life Medical Center 50057 Hwy 51 North Tickfaw LA 70466 Ph: (985) 542-7392 | New Life Medical Center 50057 Hwy 51 North Tickfaw LA 70466 Ph: (985) 542-7392 |
NPI Number | 1073848354 |
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Provider Enumeration Date | 10/05/2009 |
Last Update Date | 10/05/2009 |
Identifier | Type | State | Issuer |
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1073848354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Louisiana) | Primary |