Organization
NATCHITOCHES PEDIATRIC ASSOCIATES
Active
Parent organization
NATCHITOCHES REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATCHITOCHES REGIONAL MEDICAL CENTER
Authorized official
MR. WILLAIM B MCCORMICK (CFO)
(318) 214-4350
Entity
Organization
Contact information
Practice address
617 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
(318) 214-3663
(318) 214-3665
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 663-6131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.205867
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2321081
—
LA
Enumeration date
07/30/2013
Last updated
06/26/2020
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