Pathway Healthcare-Louisiana, LLC

NPI #1295391837 in Jefferson, Louisiana

Provider Information

NPI Number: 1295391837
Entity Type: Organization
Organization Name: Pathway Healthcare-Louisiana, LLC
Primary Specialty: Internal Medicine - Addiction Medicine
Enumeration Date: May 17, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 1514 JEFFERSON HWY
City: Jefferson
State: Louisiana
ZIP Code: 70121-2429
Phone: (205) 517-7730

Authorized Official

Name: MRS. ALICE BYNUM, MPH
Title: REVENUE CYCLE MANAGER
Phone: (205) 517-7730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X	Primary

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