Organization
THOMAS A. NEUMANN, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI D BEAVERS (CREDENTIALING MANAGER)
(318) 325-6200
Entity
Organization
Contact information
Practice address
114 N CEDAR ST, TALLULAH, LA 71282-3811
(318) 574-9090
(318) 574-9091
Mailing address
114 N CEDAR ST, TALLULAH, LA 71282-3811
(318) 574-9090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.010913
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105015
—
LA
Enumeration date
05/02/2012
Last updated
11/27/2012
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