New Life Medical Center

NPI #1073848354 in Tickfaw, Louisiana

Provider Information

NPI Number
1073848354
Entity Type
Organization
Organization Name
New Life Medical Center
Primary Specialty
Family Medicine
Enumeration Date
Oct 5, 2009
Last Updated
Oct 5, 2009

Practice Location

Address
50057 HWY 51 NORTH
ZIP Code
70466
Phone
(985) 542-7392

Authorized Official

Name
MRS. MIRIAM SONG STACEY
Title
OWNER
Phone
(985) 542-7392

Specialties & Taxonomy Codes

Specialty
Family Medicine

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