# HEARTWISE OF ALEXANDRIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174867402
- **Authorized official:** DR. MICHAEL J SCREPETIS M.D. (MEMBER)
- **Authorized official phone:** (318) 445-9823

## Contact information

- **Practice address:** 301 4TH ST, SUITE A, ALEXANDRIA, LA 71301-8423
- **Practice address phone:** (318) 709-9051
- **Practice address fax:** (866) 815-4529
- **Mailing address:** 301 4TH ST, BOX 30134, ALEXANDRIA, LA 71301-8423
- **Mailing address phone:** (318) 709-9051
- **Mailing address fax:** (866) 815-4529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 018528 | LA | Yes |

## Other

- **Enumeration date:** 11/27/2012
- **Last updated:** 11/27/2012