Organization
EVERGREEN PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCHUMACHER M.D. (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
427 EVERGREEN HWY, BUNKIE, LA 71322-0380
(800) 893-9698
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
LA
363A00000X
Physician Assistant
—
LA
363L00000X
Nurse Practitioner
—
LA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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