| Pediatric & Adolescent Clinic Of Louisiana Llc | |
|
1806 Carter St Vidalia LA 71373-3115 | |
| (318) 336-7172 | |
| (318) 336-7176 |
| Full Name | Pediatric & Adolescent Clinic Of Louisiana Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 1806 Carter St, Vidalia, Louisiana |
| Authorized Official Name and Position | David Timm (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6014427676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric & Adolescent Clinic Of Louisiana Llc 308 Highland Blvd Natchez MS 39120-4611 Ph: (601) 442-7676 | Pediatric & Adolescent Clinic Of Louisiana Llc 1806 Carter St Vidalia LA 71373-3115 Ph: (318) 336-7172 |
| NPI Number | 1346092038 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346092038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Tensas Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Carter St Ste A, Vidalia, LA 71373 Phone: 318-766-1967 | |
Seki Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 Carter St, Vidalia, LA 71373 Phone: 318-336-7072 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Carter St Rm 7, Vidalia, LA 71373 Phone: 318-336-5231 | |
Riverpark Primary Health Clinic, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Front Street, Vidalia, LA 71373 Phone: 318-336-2218 Fax: 318-336-6066 | |
David Alan Timm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Carter Street, Vidalia, LA 71373 Phone: 318-336-7172 Fax: 318-336-7172 | |
Vicksburg Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Front St Ste 1200, Vidalia, LA 71373 Phone: 318-336-2220 Fax: 318-336-6060 |