Organization
IMPACT PHYSICIAN GROUP, LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MILLER (CREDENTIALING COORDINATOR)
(260) 407-8009
Entity
Organization
Contact information
Practice address
2720 RUE DE JARDIN STE 100, LAKE CHARLES, LA 70605-4050
(260) 407-8009
(260) 407-8009
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(260) 407-8009
(260) 407-8009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us