| Newell E. Gauthier, Jr. Md | |
|
912 Bryan St. Cottonport LA 71327 | |
| (318) 876-3696 | |
| (318) 876-3211 |
| Full Name | Newell E. Gauthier, Jr. Md |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 912 Bryan St., Cottonport, Louisiana |
| Authorized Official Name and Position | Newell E Gauthier (OWNER) |
| Authorized Official Contact | 3188763696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newell E. Gauthier, Jr. Md 912 Bryan St. Cottonport LA 71327 Ph: (318) 876-3696 | Newell E. Gauthier, Jr. Md 912 Bryan St. Cottonport LA 71327 Ph: (318) 876-3696 |
| NPI Number | 1093933103 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093933103 | NPI | - | NPPES |
| 1448575 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 109 (Louisiana) | Primary |
Personalized Care Of Avoyelles Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Front St, Cottonport, LA 71327 Phone: 318-876-2800 Fax: 318-876-2803 | |
Cottonport Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Sycamore St Ste B, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 |