# MEMORY CLINIC OF LOUISIANA

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

## Provider details

- **NPI number:** 1215580113
- **Authorized official:** AMANDA GARNER (BILLER)
- **Authorized official phone:** (318) 435-7333

## Contact information

- **Practice address:** 3326 FRONT ST STE B, WINNSBORO, LA 71295-6418
- **Practice address phone:** (318) 435-7333
- **Mailing address:** PO BOX 1361, WINNSBORO, LA 71295-1361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 07/19/2019