Organization
G & M HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA THOMAS APRN (OWNER)
(314) 493-5120
Entity
Organization
Contact information
Practice address
805 N BEECH ST STE 3, TALLULAH, LA 71282-3809
(318) 493-5120
Mailing address
805 N BEECH ST STE 3, TALLULAH, LA 71282-3809
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214886
STATE LICENSE
—
Enumeration date
11/15/2021
Last updated
12/16/2021
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