JOHNNY KEVIN INGRAM

VIDALIA, LA
NPI1437100419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  MD200671)
Enumeration Date2006-05-13
Last Update Date2014-02-10
Business Address
Dr. JOHNNY KEVIN INGRAM M.D.
1154 LOGAN SEWELL DR
VIDALIA, LA 71373-3342
Phone number: 318-336-8166
Mailing Address
Dr. JOHNNY KEVIN INGRAM M.D.
1154 LOGAN SEWELL DR
VIDALIA, LA 71373-3342
Phone number: 318-336-8166
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