Organization
FAMILY MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE BAILLY (PRACTICE MANAGER)
(318) 473-4081
Entity
Organization
Contact information
Practice address
2108 TEXAS AVE, ALEXANDRIA, LA 71301-3944
(318) 473-4081
Mailing address
2108 TEXAS AVE, ALEXANDRIA, LA 71301-3944
(318) 473-4081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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