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Organization
FAMILY MEDICAL CLINIC OF MER ROUGE
Active
Organization
FAMILY MEDICAL CLINIC OF MER ROUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WYATT WEBB M. D. (OWNER)
(318) 647-3720
Entity
Organization
Contact information
Practice address
205 SOUTH DAVENPORT AVE, MER ROUGE, LA 71261
(318) 647-3720
(318) 647-5728
Mailing address
205 S DAVENPORT AVENUE, MER ROUGE, LA 71261
(318) 647-3720
(318) 647-5728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017205
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949434
—
LA
Enumeration date
03/29/2007
Last updated
02/18/2009
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