| Muddy Bottoms Clinic | |
|
369 Muddy Bottoms Drive Sarepta LA 71071 | |
| (318) 539-1000 | |
| (318) 539-4085 |
| Full Name | Muddy Bottoms Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 369 Muddy Bottoms Drive, Sarepta, Louisiana |
| Authorized Official Name and Position | Vincent Robert Sedmink (CEO) |
| Authorized Official Contact | 3185391001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muddy Bottoms Clinic 2001 Doctors Dr Springhill LA 71075-4526 Ph: (318) 539-1000 | Muddy Bottoms Clinic 369 Muddy Bottoms Drive Sarepta LA 71071 Ph: (318) 539-1000 |
| NPI Number | 1699191999 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 06/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699191999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 441 (Louisiana) | Primary |
North Webster Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Tri-state Drive, Sarepta, LA 71071 Phone: 318-994-2266 Fax: 318-539-9177 |