Organization
JAMES C INGRAM JR MD INC
Active
Other names
Vein Center of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C INGRAM JR. M.D. (MEDICAL DIRECTOR)
(337) 234-7777
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, SUITE 201, LAFAYETTE, LA 70503-2852
(337) 234-7777
(337) 237-3700
Mailing address
155 HOSPITAL DR, SUITE 201, LAFAYETTE, LA 70503-2852
(337) 234-7777
(337) 237-3700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.011266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795810
—
LA
Enumeration date
04/24/2007
Last updated
09/10/2008
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