Organization
MEMORY CLINIC OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GARNER (BILLER)
(318) 435-7333
Entity
Organization
Contact information
Practice address
3326 FRONT ST STE B, WINNSBORO, LA 71295-6418
(318) 435-7333
Mailing address
PO BOX 1361, WINNSBORO, LA 71295-1361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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