Individual
MR. CLEOTHA JOHNIGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 HOSPITAL RD, NEW ROADS, LA 70760-3912
(225) 638-8449
(225) 638-8446
Mailing address
1919 HOSPITAL ROAD, NEW ROADS, LA 70760-2723
(225) 638-8449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
06/18/2017
Last updated
06/12/2018
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