Organization
ROBERT C. EWING, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI DAVIDSON BEAVERS (CREDENTIALING MANAGER)
(318) 325-6200
Entity
Organization
Contact information
Practice address
200 PROFESSIONAL DR, WEST MONROE, LA 71291-5359
(318) 325-3812
Mailing address
200 PROFESSIONAL DR, WEST MONROE, LA 71291-5359
(318) 325-3812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05708R
LA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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