Organization
FAMILY MEDICAL CLINIC OF MER ROUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WYATT WEBB M. D. (OWNER)
(318) 647-3720
Entity
Organization
Contact information
Practice address
205 SOUTH DAVENPORT AVE, MER ROUGE, LA 71261
(318) 647-3720
(318) 647-5728
Mailing address
205 S DAVENPORT AVENUE, MER ROUGE, LA 71261
(318) 647-3720
(318) 647-5728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017205
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949434
—
LA
Enumeration date
03/29/2007
Last updated
02/18/2009
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