# LCMS MATTHEW G SCROGGS, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE CHARLES MEDICAL SERVICES, INC
- **Other names:** Matthew G Scroggs MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831491067
- **Legal business name:** LAKE CHARLES MEDICAL SERVICES, INC
- **Authorized official:** DAWN JOHNSON-HATCHER (CFO)
- **Authorized official phone:** (337) 494-2094

## Contact information

- **Practice address:** 1890 W GAUTHIER RD STE 140, LAKE CHARLES, LA 70605-7179
- **Practice address phone:** (337) 480-5570
- **Practice address fax:** (337) 480-5581
- **Mailing address:** PO BOX 122534 DEPT 2534, DALLAS, TX 75312-2534
- **Mailing address phone:** (337) 494-2921
- **Mailing address fax:** (337) 494-6523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 12/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2320556 | — | LA |