Louisiana Family Medicine Clinic, Inc.

NPI #1083094007 in Jonesboro, Louisiana

Provider Information

NPI Number
1083094007
Entity Type
Organization
Organization Name
Louisiana Family Medicine Clinic, Inc.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jun 4, 2015
Last Updated
Jun 4, 2015

Practice Location

Address
103 WATTS ST
ZIP Code
71251-2053
Phone
(318) 259-1569

Authorized Official

Name
DIRK RAINWATER, MD
Title
OWNER
Phone
(318) 259-1569

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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