Velocity Md Llc | |
307 Keyser Ave Natchitoches LA 71457-5801 | |
(318) 352-5221 | |
(318) 352-7757 |
Full Name | Velocity Md Llc |
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Speciality | Clinic/center |
Location | 307 Keyser Ave, Natchitoches, Louisiana |
Authorized Official Name and Position | Kristin Gillum (DIRECTOR OF OVERSIGHT & MANAGEMENT) |
Authorized Official Contact | 3186293763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Velocity Md Llc 307 Keyser Ave Natchitoches LA 71457-5801 Ph: (318) 352-5221 | Velocity Md Llc 307 Keyser Ave Natchitoches LA 71457-5801 Ph: (318) 352-5221 |
NPI Number | 1659816858 |
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Provider Enumeration Date | 12/23/2016 |
Last Update Date | 12/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659816858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD.019455 (Louisiana) | Primary |
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