Individual
DR. JAMES R MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 N PINE ST, VIVIAN, LA 71082-2743
(318) 375-2851
(318) 375-5195
Mailing address
117 N PINE ST, VIVIAN, LA 71082-2743
(318) 375-2851
(318) 375-5195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3568
LA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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