Organization
OM MEDICAL LLC
Active
Organization
OM MEDICAL LLC
Active
Other names
IMC of Covington
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA MCDONALD (NP/OWNER)
(318) 884-3840
Entity
Organization
Contact information
Practice address
706 W 15TH AVE, COVINGTON, LA 70433-2416
(985) 338-2596
Mailing address
706 W 15TH AVE, COVINGTON, LA 70433-2416
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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