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Organization
ROBERT C. EWING, M.D., LLC
Active
Organization
ROBERT C. EWING, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI DAVIDSON BEAVERS (CREDENTIALING MANAGER)
(318) 325-6200
Entity
Organization
Contact information
Practice address
200 PROFESSIONAL DR, WEST MONROE, LA 71291-5359
(318) 325-3812
Mailing address
200 PROFESSIONAL DR, WEST MONROE, LA 71291-5359
(318) 325-3812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05708R
LA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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