Organization
THE HEAD AND NECK CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A WHITE M.D. (OWNER/PHYSICIANS)
(318) 336-2214
Entity
Organization
Contact information
Practice address
107 FRONT ST STE 2141, VIDALIA, LA 71373-2835
(318) 336-2214
(318) 336-6069
Mailing address
107 FRONT ST STE 2141, VIDALIA, LA 71373-2835
(318) 336-2214
(318) 336-6069
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
017462
LA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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