NPI 1295103844

Mmg Nelson Rd LLC

Organisation General Practice Physician Lake Charles, LA

Practice location

Address: 4345 Nelson Rd STE 102, Lake Charles, LA 70605-4183
Phone: (337) 480-7900
Fax: (337) 602-6358
Mailing address: PO Box 123594 Dept 3594, Dallas, TX 75312-3594

Authorised official

Name: Dawn Johnson-Hatcher
Title: Cfo
Phone: (337) 494-2094

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Louisiana →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Louisiana →

Registry record

NPI: 1295103844
Entity type: Organization
NPI issued: 11 Sep 2015
Record last updated: 4 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.