| Felton Family Care, Inc | |
|
814 S Broadway St Church Point LA 70525-4402 | |
| (337) 684-3178 | |
| Not Available |
| Full Name | Felton Family Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 814 S Broadway St, Church Point, Louisiana |
| Authorized Official Name and Position | Connie Stagg (CRED MANAGER) |
| Authorized Official Contact | 3374579300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felton Family Care, Inc 814 S Broadway St Church Point LA 70525-4402 Ph: (337) 684-3178 | Felton Family Care, Inc 814 S Broadway St Church Point LA 70525-4402 Ph: (337) 684-3178 |
| NPI Number | 1942462254 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 10/21/2008 |
| Medicare PECOS PAC ID | 6305911611 |
|---|---|
| Medicare Enrollment ID | O20080821000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942462254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD021516 (Louisiana) | Primary |
| Provider Name | Michael A Felton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922199538 PECOS PAC ID: 9931274248 Enrollment ID: I20080821000313 |
| Provider Name | Erica L Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558954222 PECOS PAC ID: 3375942931 Enrollment ID: I20210602000170 |
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