Organization
MILLER FAMILY MEDICINE, LLC
Active
Parent organization
SLIDELL MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SLIDELL MEMORIAL HOSPITAL
Authorized official
MS. STEPHANIE H QUICK (DIRECTOR, SMH PHYSICIANS NETWORK)
(985) 649-8873
Entity
Organization
Contact information
Practice address
1001 GAUSE BLVD, BOX 75, SLIDELL, LA 70458-2939
(985) 639-8970
(985) 639-8971
Mailing address
140 E I 10 SERVICE RD, SLIDELL, LA 70461-3564
(985) 847-9909
(985) 847-9902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12706R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801020433
NPI PHYSICIANS NETWORK IDENTIFICATION NUMBER
LA
Enumeration date
04/25/2007
Last updated
08/02/2010
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