Organization
E.A. CONWAY MEDICAL CENTER
Active
Other names
E.A. Conway Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE H SOTAK MHSA (DIRECTOR OF MANAGED CARE)
(318) 675-7737
Entity
Organization
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
129
LA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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