St. Mary Primary Care, Llc | |
1435 Lela St Franklin LA 70538-3127 | |
(337) 828-3090 | |
(337) 828-3095 |
Full Name | St. Mary Primary Care, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1435 Lela St, Franklin, Louisiana |
Authorized Official Name and Position | Keidra Albertine Welch-spencer (PHYSICIAN OWNER) |
Authorized Official Contact | 3378283090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Mary Primary Care, Llc 1435 Lela St Franklin LA 70538-3127 Ph: (337) 828-3090 | St. Mary Primary Care, Llc 1435 Lela St Franklin LA 70538-3127 Ph: (337) 828-3090 |
NPI Number | 1972633618 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 09/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972633618 | NPI | - | NPPES |
1012246 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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