Organization
ST. MARY PRIMARY CARE, LLC
Active
Other names
Spencer and Son Investments, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEIDRA ALBERTINE WELCH-SPENCER M.D. (PHYSICIAN OWNER)
(337) 828-3090
Entity
Organization
Contact information
Practice address
1435 LELA ST, FRANKLIN, LA 70538-3127
(337) 828-3090
(337) 828-3095
Mailing address
1435 LELA ST, FRANKLIN, LA 70538-3127
(337) 828-3090
(337) 828-3095
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012246
—
LA
Enumeration date
03/06/2007
Last updated
09/30/2013
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