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Organization

FAIRWAY MEDICAL URGENT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GUZAN (CEO)
(985) 801-3010
Entity
Organization

Contact information

Practice address
70340 HIGHWAY 21 STE A, COVINGTON, LA 70433-7119
(985) 809-8989
Mailing address
PO BOX 2223, MANDEVILLE, LA 70470-2223
(985) 809-8989

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
11/18/2008
Last updated
11/18/2008
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