Organization
GEAUX FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI GREEN (CREDENTIALING MANAGER)
(318) 600-4364
Entity
Organization
Contact information
Practice address
2900 FORSYTHE AVE, MONROE, LA 71201-3010
(318) 600-4364
(318) 605-3149
Mailing address
2900 FORSYTHE AVE, MONROE, LA 71201-3010
(318) 600-4364
(318) 605-3149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629324355
NPI
LA
Enumeration date
09/11/2013
Last updated
05/31/2023
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