Organization
AMY DOUGLAS-MCVAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DOUGLAS-MCVAY M.D. (PRESIDENT)
(318) 665-0521
Entity
Organization
Contact information
Practice address
323 W. WALNUT AVENUE, BASTROP, LA 71220
(318) 665-0521
Mailing address
323 W. WALNUT AVENUE, BASTROP, LA 71220
(318) 665-0521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01886R
LA
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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