Organization
INGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC
Active
Organization
INGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER L INGRAM MD (OWNER)
(318) 354-0552
Entity
Organization
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4550
(318) 354-2468
Mailing address
415 BIENVILLE ST, SUITE 6, NATCHITOCHES, LA 71457-5737
(318) 354-0552
(318) 354-2468
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1993450
—
LA
Enumeration date
10/26/2005
Last updated
07/21/2022
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