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Organization
FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION
Active
Organization
FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WESLEY MAGEE III M.D. (PRESIDENT)
(985) 446-2680
Entity
Organization
Contact information
Practice address
804 SOUTH ACADIA ROAD, THIBODAUX, LA 70301
(985) 446-2680
(985) 447-2528
Mailing address
804 SOUTH ACADIA ROAD, THIBODAUX, LA 70301
(985) 446-2680
(985) 447-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799751
—
LA
01
—
CP7384
RAILROAD MEDICARE
LA
Enumeration date
10/26/2006
Last updated
05/24/2016
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