| Darcey Medical, Llc | |
|
20050 Crestwood Blvd Covington LA 70433-5207 | |
| (985) 542-2653 | |
| (985) 662-0720 |
| Full Name | Darcey Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20050 Crestwood Blvd, Covington, Louisiana |
| Authorized Official Name and Position | Christopher J Darcey (OWNER) |
| Authorized Official Contact | 9855422653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darcey Medical, Llc Po Box 1218 Mandeville LA 70470-1218 Ph: (985) 542-2653 | Darcey Medical, Llc 20050 Crestwood Blvd Covington LA 70433-5207 Ph: (985) 542-2653 |
| NPI Number | 1619290715 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619290715 | NPI | - | NPPES |
| 1216798 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.202878 (Louisiana) | Primary |
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