# G & M HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1629734520
- **Authorized official:** LATONYA THOMAS APRN (OWNER)
- **Authorized official phone:** (314) 493-5120

## Contact information

- **Practice address:** 805 N BEECH ST STE 3, TALLULAH, LA 71282-3809
- **Practice address phone:** (318) 493-5120
- **Mailing address:** 805 N BEECH ST STE 3, TALLULAH, LA 71282-3809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2021
- **Last updated:** 12/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 214886 | STATE LICENSE | — |