White Coat Medical Group Llc | |
508 Hermitage Ct Pearl River LA 70452-3902 | |
(985) 788-2221 | |
Not Available |
Full Name | White Coat Medical Group Llc |
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Speciality | Internal Medicine |
Location | 508 Hermitage Ct, Pearl River, Louisiana |
Authorized Official Name and Position | Ryan White (OWNER) |
Authorized Official Contact | 9857882221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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White Coat Medical Group Llc 508 Hermitage Ct Pearl River LA 70452-3902 Ph: () - | White Coat Medical Group Llc 508 Hermitage Ct Pearl River LA 70452-3902 Ph: (985) 788-2221 |
NPI Number | 1083479265 |
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Provider Enumeration Date | 02/16/2024 |
Last Update Date | 02/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083479265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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