Individual
JIMMIE W VARNADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6214 HWY 10, GREENSBURG, LA 70441
(225) 222-3206
(225) 222-3190
Mailing address
6214 HWY 10, PO BOX 1178, GREENSBURG, LA 70441
(225) 222-3206
(225) 222-3190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011614
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193828
—
LA
05
—
1443573
—
LA
Enumeration date
05/09/2006
Last updated
09/14/2017
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