| Physician Group Of Louisiana Inc | |
|
1900 N 7th St West Monroe LA 71291-4416 | |
| (318) 651-7000 | |
| Not Available |
| Full Name | Physician Group Of Louisiana Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 N 7th St, West Monroe, Louisiana |
| Authorized Official Name and Position | Jonathan A Demke (CEO) |
| Authorized Official Contact | 6154671072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Group Of Louisiana Inc Po Box 281796 Atlanta GA 30384-1796 Ph: (866) 243-7107 | Physician Group Of Louisiana Inc 1900 N 7th St West Monroe LA 71291-4416 Ph: (318) 651-7000 |
| NPI Number | 1013486059 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013486059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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