Organization
LCMS MATTHEW G SCROGGS, MD, LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC
Other names
Matthew G Scroggs MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1890 W GAUTHIER RD STE 140, LAKE CHARLES, LA 70605-7179
(337) 480-5570
(337) 480-5581
Mailing address
PO BOX 122534 DEPT 2534, DALLAS, TX 75312-2534
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320556
—
LA
Enumeration date
11/19/2010
Last updated
12/04/2023
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