Organization
PEDIATRIC CENTER OF MANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA THOMPSON (BUSINESS MANAGER)
(337) 239-2207
Entity
Organization
Contact information
Practice address
315 S HIGHLAND DR STE A, MANY, LA 71449-3719
(318) 431-5100
(318) 808-7007
Mailing address
PO BOX 130, NEW LLANO, LA 71461-0130
(337) 239-2207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521004
—
LA
Enumeration date
08/10/2018
Last updated
01/26/2021
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