Organization
THE FAMILY CARE CENTER OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY GEORGE MD (OWNER)
(337) 439-1484
Entity
Organization
Contact information
Practice address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Mailing address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021571
—
LA
Enumeration date
04/10/2007
Last updated
01/10/2008
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