PEDIATRIC & ADOLESCENT CLINIC OF LOUISIANA LLC

VIDALIA, LA
NPI1346092038
Entity TypeOrganization
Authorized ContactDAVID TIMM
Medical Director
601-442-7676
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies261QR1300X Clinic/Center, Rural Health
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
PEDIATRIC & ADOLESCENT CLINIC OF LOUISIANA LLC
1806 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-336-7172
Mailing Address
PEDIATRIC & ADOLESCENT CLINIC OF LOUISIANA LLC
308 HIGHLAND BLVD
NATCHEZ, MS 39120-4611
Phone number: 601-442-7676
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