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Organization
FAMILY MEDICINE PHYSICIANS, L.L.C.
Active
Organization
FAMILY MEDICINE PHYSICIANS, L.L.C.
Active
Other names
family medicine physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SMITTY SMITH MD (PARTNER)
(985) 345-9606
Entity
Organization
Contact information
Practice address
16052 DOCTOR'S BOULEVARD, HAMMOND, LA 70403
(985) 386-6584
Mailing address
PO BOX 280, PONCHATOULA, LA 70454-0280
(985) 345-9606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949531
—
LA
01
—
DA4862
RAILROAD MEDICARE
LA
Enumeration date
07/14/2006
Last updated
11/04/2021
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