| Montgomery Clinic Llc | |
|
641 Rowena St Montgomery LA 71454 | |
| (318) 354-9348 | |
| Not Available |
| Full Name | Montgomery Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 641 Rowena St, Montgomery, Louisiana |
| Authorized Official Name and Position | Mary I Long (OFFICER) |
| Authorized Official Contact | 3183549348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Clinic Llc 114 E 5th St Natchitoches LA 71457-5725 Ph: (318) 354-9348 | Montgomery Clinic Llc 641 Rowena St Montgomery LA 71454 Ph: (318) 354-9348 |
| NPI Number | 1730320946 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730320946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022285 (Louisiana) | Primary |
Bjc Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 641 Rowena St, Montgomery, LA 71454 Phone: 318-646-3000 |