NPI 1497357156

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Organisation Family Medicine Physician Rayville, LA

Practice location

Address: 832 Julia St, Rayville, LA 71269-2608
Phone: (318) 728-4787
Fax: (318) 728-2598
Mailing address: PO Box 15581, Monroe, LA 71207-5581

Authorised official

Name: Brittney Whitlock
Title: Credentialing Manager
Phone: (318) 325-6200

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Louisiana →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Other Nurse Practitioner providers in Louisiana →

Registry record

NPI: 1497357156
Entity type: Organization
NPI issued: 9 Nov 2020
Record last updated: 16 Nov 2020

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.