Organization
FAMILY FIRST MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO EDWARDS M.D. (OWNER)
(225) 687-1772
Entity
Organization
Contact information
Practice address
25073 HIGHWAY 1 S., PLAQUEMINE, LA 70764
(225) 687-1772
(225) 687-1013
Mailing address
25073 HIGHWAY 1 S., PLAQUEMINE, LA 70764
(225) 687-1772
(225) 687-1013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445622
—
LA
Enumeration date
03/27/2007
Last updated
03/17/2008
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