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Organization
GREENWELL MEDICAL CLINIC LLC DBA NORTH POINT FAMILY HEALTH
Active
Organization
GREENWELL MEDICAL CLINIC LLC DBA NORTH POINT FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KYLE DEAN MD (PHYSICIAN)
(225) 924-9985
Entity
Organization
Contact information
Practice address
18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
(225) 924-9985
(225) 924-0884
Mailing address
18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
(225) 924-9985
(225) 924-0884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05798R
LA
207Q00000X
Family Medicine Physician
Primary
11621R
LA
208D00000X
General Practice Physician
10977
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103039
—
LA
05
—
1321460
—
LA
05
—
1695467
—
LA
Enumeration date
09/27/2006
Last updated
09/04/2014
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