# ROBERT C. EWING, M.D., LLC

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

## Provider details

- **NPI number:** 1396082632
- **Authorized official:** MRS. KELLI DAVIDSON BEAVERS (CREDENTIALING MANAGER)
- **Authorized official phone:** (318) 325-6200

## Contact information

- **Practice address:** 200 PROFESSIONAL DR, WEST MONROE, LA 71291-5359
- **Practice address phone:** (318) 325-3812
- **Mailing address:** 200 PROFESSIONAL DR, WEST MONROE, LA 71291-5359
- **Mailing address phone:** (318) 325-3812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 05708R | LA | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013