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Organization
HEARTWISE OF ALEXANDRIA LLC
Active
Organization
HEARTWISE OF ALEXANDRIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SCREPETIS M.D. (MEMBER)
(318) 445-9823
Entity
Organization
Contact information
Practice address
301 4TH ST, SUITE A, ALEXANDRIA, LA 71301-8423
(318) 709-9051
(866) 815-4529
Mailing address
301 4TH ST, BOX 30134, ALEXANDRIA, LA 71301-8423
(318) 709-9051
(866) 815-4529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018528
LA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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