Angie Medical Clinic, LLC

NPI #1831120740 in Angie, Louisiana

Provider Information

NPI Number: 1831120740
Entity Type: Organization
Organization Name: Angie Medical Clinic, LLC
Primary Specialty: Legal Medicine
Enumeration Date: Jul 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 29764 HIGHWAY 21
City: Angie
State: Louisiana
ZIP Code: 70426-3069
Phone: (985) 986-0016

Authorized Official

Name: MR. DONICE JEFFERSON RAYFORD
Title: OWNER/CEO
Phone: (985) 986-0016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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