Jerry A.thomas M.d., L.l.c. | |
51704 Highway 438 Franklinton LA 70438 | |
(985) 848-9955 | |
(985) 848-9964 |
Full Name | Jerry A.thomas M.d., L.l.c. |
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Speciality | Clinic/center - Primary Care |
Location | 51704 Highway 438, Franklinton, Louisiana |
Authorized Official Name and Position | Kristina Dokka Knight (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9857954147 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jerry A.thomas M.d., L.l.c. 51704 Highway 438 Franklinton LA 70438 Ph: (985) 848-9955 | Jerry A.thomas M.d., L.l.c. 51704 Highway 438 Franklinton LA 70438 Ph: (985) 848-9955 |
NPI Number | 1023376183 |
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Provider Enumeration Date | 04/26/2012 |
Last Update Date | 01/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023376183 | NPI | - | NPPES |
1321044 | Medicaid | LA | |
5DX93 | Other | LA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD.015223 (Louisiana) | Primary |
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