Organization
MEDICINE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY P CHAPMAN (OFFICE MANAGER)
(318) 388-1400
Entity
Organization
Contact information
Practice address
501 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 388-1400
(318) 388-1407
Mailing address
PO BOX 1574, WEST MONROE, LA 71294-1574
(318) 388-1400
(318) 388-1407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP04834
LA
207QA0505X
Adult Medicine Physician
AP05769
LA
207R00000X
Internal Medicine Physician
18470
LA
Other
Enumeration date
01/04/2010
Last updated
03/11/2010
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