Individual
NICOLE ANGELA GARNET MCCOMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 N FORREST RD, PLAIN DEALING, LA 71064-4031
(318) 326-7272
(318) 326-7282
Mailing address
112 FOREST ST, PLAIN DEALING, LA 71064-4031
(318) 326-7272
(318) 326-7282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201547
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038130
—
LA
05
—
1092452
—
LA
05
—
1444286
—
LA
05
—
2302639
—
LA
Enumeration date
05/24/2007
Last updated
09/28/2012
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