| St. James Primary Care, Donaldsonville | |
|
106 Memorial Dr Donaldsonville LA 70346-4337 | |
| (225) 473-0000 | |
| Not Available |
| Full Name | St. James Primary Care, Donaldsonville |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Memorial Dr, Donaldsonville, Louisiana |
| Authorized Official Name and Position | Anu P Vellanki (OWNER) |
| Authorized Official Contact | 2259073220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. James Primary Care, Donaldsonville Po Box 419 Gramercy LA 70052-0419 Ph: (225) 869-9200 | St. James Primary Care, Donaldsonville 106 Memorial Dr Donaldsonville LA 70346-4337 Ph: (225) 473-0000 |
| NPI Number | 1841521200 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 04/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841521200 | NPI | - | NPPES |
| 1822141 | Medicaid | LA | |
| 6650933750 | Other | LA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203358 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | 12855R (Louisiana) | Secondary |
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