| Robert C. Ewing, M.D., LLC | |
|
200 Professional Dr West Monroe LA 71291-5359 | |
| (318) 325-3812 | |
| Not Available |
| Full Name | Robert C. Ewing, M.D., LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Professional Dr, West Monroe, Louisiana |
| Authorized Official Name and Position | Kelli Davidson Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3183256200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C. Ewing, M.D., LLC 200 Professional Dr West Monroe LA 71291-5359 Ph: (318) 325-3812 | Robert C. Ewing, M.D., LLC 200 Professional Dr West Monroe LA 71291-5359 Ph: (318) 325-3812 |
| NPI Number | 1396082632 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396082632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 05708R (Louisiana) | Primary |
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