Mmg Nelson Rd LLC
NPI #1295103844 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1295103844
- Entity Type
- Organization
- Organization Name
- Mmg Nelson Rd LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEMORIAL MEDICAL GROUP
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 11, 2015
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 4345 NELSON RD STE 102
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605-4183
- Phone
- (337) 480-7900
Authorized Official
- Name
- DAWN JOHNSON-HATCHER
- Title
- CFO
- Phone
- (337) 494-2094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
| General Practice |
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