Organization
FAMILY MEDICINE PHYSICIANS, L.L.C.
Active
Other names
family medicine physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SMITTY SMITH MD (PARTNER)
(985) 345-9606
Entity
Organization
Contact information
Practice address
16052 DOCTOR'S BOULEVARD, HAMMOND, LA 70403
(985) 386-6584
Mailing address
PO BOX 280, PONCHATOULA, LA 70454-0280
(985) 345-9606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949531
—
LA
01
—
DA4862
RAILROAD MEDICARE
LA
Enumeration date
07/14/2006
Last updated
11/04/2021
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