Individual
JAMES C INGRAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 KALISTE SALOOM RD, BLDG 2 STE 201, LAFAYETTE, LA 70508-6186
(337) 534-8346
(337) 534-8396
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8360
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD 011266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195073
—
LA
Enumeration date
08/04/2005
Last updated
04/01/2015
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