# FAMILY MEDICINE PHYSICIANS, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** family medicine physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962428953
- **Authorized official:** DR. SMITTY SMITH MD (PARTNER)
- **Authorized official phone:** (985) 345-9606

## Contact information

- **Practice address:** 16052 DOCTOR'S BOULEVARD, HAMMOND, LA 70403
- **Practice address phone:** (985) 386-6584
- **Mailing address:** PO BOX 280, PONCHATOULA, LA 70454-0280
- **Mailing address phone:** (985) 345-9606

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 11/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1949531 | — | LA |
| 01 | — | DA4862 | RAILROAD MEDICARE | LA |
