Organization
FELTON FAMILY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE STAGG CRED MANAGER (CRED MANAGER)
(337) 457-9300
Entity
Organization
Contact information
Practice address
814 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-3178
Mailing address
814 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-3178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD021516
LA
Other
Enumeration date
06/27/2008
Last updated
10/21/2008
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