Organization
WESTSIDE FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRIETTE MARTIN FITCH MD (OWNER/PHYSICIAN)
(225) 687-8838
Entity
Organization
Contact information
Practice address
58155 CHINN ST, SUITE B, PLAQUEMINE, LA 70764-3607
(225) 687-8838
(225) 687-8836
Mailing address
58155 CHINN ST, SUITE B, PLAQUEMINE, LA 70764-3607
(225) 687-8838
(225) 687-8836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23650
LA
208000000X
Pediatrics Physician
23650
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446548
—
LA
01
—
DE7061
RAILROAD MEDICARE
LA
Enumeration date
07/25/2008
Last updated
11/04/2008
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