Organization
PATHWAY HEALTHCARE-LOUISIANA, LLC
Active
Other names
Pathway Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE BYNUM MPH (REVENUE CYCLE MANAGER)
(205) 517-7730
Entity
Organization
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(205) 517-7730
(205) 838-5863
Mailing address
PO BOX 1080, TRUSSVILLE, AL 35173-6080
(205) 517-7730
(205) 838-5863
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
06/11/2019
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