# FAMILY DOCTOR OF NATCHITOCHES, INC.

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

## Provider details

- **NPI number:** 1770682304
- **Authorized official:** JOHN E HOGG MD (OWNER)
- **Authorized official phone:** (318) 352-6800

## Contact information

- **Practice address:** 615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
- **Practice address phone:** (318) 352-6800
- **Practice address fax:** (318) 352-6803
- **Mailing address:** 615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
- **Mailing address phone:** (318) 352-6800
- **Mailing address fax:** (318) 352-6803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | LA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1555037 | — | LA |
