Organization
ERICKSON FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW ERICKSON MD (MD/OWNER)
(318) 744-5504
Entity
Organization
Contact information
Practice address
302-A BUSHLEY STREET, HARRISONBURG, LA 71340-0302
(318) 744-5504
(318) 744-5505
Mailing address
PO BOX 268, JONESVILLE, LA 71343-0268
(318) 744-5504
(318) 744-5505
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107085
—
LA
Enumeration date
07/24/2015
Last updated
07/24/2015
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