J KEVIN INGRAM MEDICAL, INC

VIDALIA, LA
NPI1871761619
Entity TypeOrganization
Authorized ContactJOHNNY KEVIN INGRAM
Owner
318-336-8166
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  MD200671)
Enumeration Date2008-02-14
Last Update Date2008-06-12
Business Address
J KEVIN INGRAM MEDICAL, INC
1806 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-757-6526
Mailing Address
J KEVIN INGRAM MEDICAL, INC
PO BOX 14149
BATON ROUGE, LA 70898-4149
Phone number: 888-924-9827
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