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Organization
ACADIA FAMILY CLINIC LLC
Active
Organization
ACADIA FAMILY CLINIC LLC
Active
Other names
ACADIA FAMILY CLINIC RHC
Organization subpart
No
Provider details
NPI number
Authorized official
GINA L MILLER N.P. (NURSE PRACTIONER/OWNER)
(337) 788-1081
Entity
Organization
Contact information
Practice address
1325 WRIGHT AVE, SUITE E, CROWLEY, LA 70526-2226
(337) 788-1081
(337) 788-1083
Mailing address
1325 WRIGHT AVE, SUITE E, CROWLEY, LA 70526-2226
(337) 788-1081
(337) 788-1083
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
133
LA
363LF0000X
Family Nurse Practitioner
0390699-22
LA
Other
Enumeration date
09/28/2007
Last updated
01/03/2017
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