Mrs Brianne Ellis Black, FNP | |
1648 Carter St Ste 2, Vidalia, LA 71373-3111 | |
(318) 414-2315 | |
(318) 414-5250 |
Full Name | Mrs Brianne Ellis Black |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1648 Carter St Ste 2, Vidalia, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134014939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 202115 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Brianne Ellis Black, FNP 1648 Carter St, Vidalia, LA 71373-3111 Ph: (318) 607-5870 | Mrs Brianne Ellis Black, FNP 1648 Carter St Ste 2, Vidalia, LA 71373-3111 Ph: (318) 414-2315 |
Dr. Johnny Kevin Ingram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1154 Logan Sewell Dr, Vidalia, LA 71373 Phone: 318-336-8166 Fax: 318-336-8169 | |
Dr. Dennis A Laravia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Carter Street, Vidalia, LA 71373 Phone: 318-336-4780 Fax: 318-336-4783 |