| New Life Medical Center | |
| 
					50057 Hwy 51 North Tickfaw LA 70466  | |
| (985) 542-7392 | |
| (985) 542-7393 | 
| Full Name | New Life Medical Center | 
|---|---|
| Speciality | Family Medicine | 
| Location | 50057 Hwy 51 North, Tickfaw, Louisiana | 
| Authorized Official Name and Position | Miriam Song Stacey (OWNER) | 
| Authorized Official Contact | 9855427392 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| New Life Medical Center 50057 Hwy 51 North Tickfaw LA 70466 Ph: (985) 542-7392  | New Life Medical Center 50057 Hwy 51 North Tickfaw LA 70466 Ph: (985) 542-7392  | 
| NPI Number | 1073848354 | 
|---|---|
| Provider Enumeration Date | 10/05/2009 | 
| Last Update Date | 10/05/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073848354 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Primary | 
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48405 Highway 51, Tickfaw, LA 70466 Phone: 225-683-5292 Fax: 225-683-1310  |