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Organization
HUEY P. LONG MEDICAL CENTER
Active
Organization
HUEY P. LONG MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE H SOTAK (DIRECTOR OF MANAGED CARE)
(318) 675-7737
Entity
Organization
Contact information
Practice address
352 HOSPITAL RD, PINEVILLE, LA 71360
(318) 448-0811
(318) 473-6360
Mailing address
352 HOSPITAL RD, PINEVILLE, LA 71360
(318) 448-0811
(318) 473-6360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
255
LA
207R00000X
Internal Medicine Physician
Primary
255
LA
208000000X
Pediatrics Physician
255
LA
2084P0800X
Psychiatry Physician
255
LA
208600000X
Surgery Physician
255
LA
Other
Enumeration date
06/15/2006
Last updated
02/05/2009
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