Organization
ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE MICHELLE WILLIS (CLINIC MANAGER)
(337) 786-6161
Entity
Organization
Contact information
Practice address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999
Mailing address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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