# MEDICINE CLINIC, INC

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

## Provider details

- **NPI number:** 1750611356
- **Authorized official:** MRS. KATHY P CHAPMAN (OFFICE MANAGER)
- **Authorized official phone:** (318) 388-1400

## Contact information

- **Practice address:** 501 MCMILLAN RD, WEST MONROE, LA 71291-5327
- **Practice address phone:** (318) 388-1400
- **Practice address fax:** (318) 388-1407
- **Mailing address:** PO BOX 1574, WEST MONROE, LA 71294-1574
- **Mailing address phone:** (318) 388-1400
- **Mailing address fax:** (318) 388-1407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | AP04834 | LA | Yes |
| 207QA0505X | Adult Medicine Physician | AP05769 | LA | — |
| 207R00000X | Internal Medicine Physician | 18470 | LA | — |

## Other

- **Enumeration date:** 01/04/2010
- **Last updated:** 03/11/2010