Organization
MOBILE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN SLADE DYKES (PRESIDENT/OWNER)
(318) 237-1527
Entity
Organization
Contact information
Practice address
2401 LOOP RD, WINNSBORO, LA 71295-3403
(318) 237-1527
(318) 435-3111
Mailing address
126 DYKES RD, WEST MONROE, LA 71292-8969
(318) 237-1527
(318) 435-3111
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
LA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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