Minden Internal Medicine & Pediatrics, LLC

NPI #1154300275 in Minden, Louisiana

Provider Information

NPI Number: 1154300275
Entity Type: Organization
Organization Name: Minden Internal Medicine & Pediatrics, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 17, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 101 OFFICE PARK DR
City: Minden
State: Louisiana
ZIP Code: 71055-3088
Phone: (318) 377-2979

Authorized Official

Name: DR. KELLY M CARLISLE, MD
Title: OWNER
Phone: (318) 377-2979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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