Organization
FCIM EXTENDED SERVICES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS TERRELL (OPERATIONS MANAGER)
(318) 445-9331
Entity
Organization
Contact information
Practice address
176 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2493
(318) 445-9331
(318) 619-6899
Mailing address
176 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2493
(318) 445-9331
(318) 619-6891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
08/14/2024
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