| St. Mary Primary Care, LLC | |
|
1435 Lela St Franklin LA 70538-3127 | |
| (337) 828-3090 | |
| (337) 828-3095 |
| Full Name | St. Mary Primary Care, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1435 Lela St, Franklin, Louisiana |
| Authorized Official Name and Position | Keidra Albertine Welch-spencer (PHYSICIAN OWNER) |
| Authorized Official Contact | 3378283090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary Primary Care, LLC 1435 Lela St Franklin LA 70538-3127 Ph: (337) 828-3090 | St. Mary Primary Care, LLC 1435 Lela St Franklin LA 70538-3127 Ph: (337) 828-3090 |
| NPI Number | 1972633618 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972633618 | NPI | - | NPPES |
| 1012246 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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