Individual
DR. JIMMY R COUGHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 FAIR AVENUE, WINNSBORO, LA 71295-2116
(318) 435-8020
(318) 435-8099
Mailing address
PO BOX 730, WINNSBORO, LA 71295-0730
(318) 435-8020
(318) 435-8099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021579
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449130
—
LA
05
—
1971391
—
LA
01
—
5287021
AETNA PROVIDER NUMBER
LA
01
—
L92023
VANTAGE PROVIDER
LA
Enumeration date
02/23/2006
Last updated
12/12/2012
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