| Vicksburg Clinic Llc | |
|
10 Crothers Dr Ste. 4 Tallulah LA 71282-5510 | |
| (318) 574-0056 | |
| Not Available |
| Full Name | Vicksburg Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Crothers Dr, Tallulah, Louisiana |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicksburg Clinic Llc 10 Crothers Dr Ste. 4 Tallulah LA 71282-5510 Ph: () - | Vicksburg Clinic Llc 10 Crothers Dr Ste. 4 Tallulah LA 71282-5510 Ph: (318) 574-0056 |
| NPI Number | 1831308816 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831308816 | NPI | - | NPPES |
| 1444740 | Medicaid | LA | |
| 1192694 | Medicaid | LA |
Madison Parish Hospital Service District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Johnson St Ste A, Tallulah, LA 71282 Phone: 318-574-3575 Fax: 318-574-5052 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Cedar St, Tallulah, LA 71282 Phone: 318-574-1831 | |
Renewed Path Counseling Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Johnson St Rear Office, Tallulah, LA 71282 Phone: 318-512-5383 Fax: 318-574-0819 | |
Madison Parish Hospital Service District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Johnson St, Tallulah, LA 71282 Phone: 318-651-6501 | |
Leonard P. Neumann Jr Md A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Johnson St., Tallulah, LA 71282 Phone: 318-574-4731 Fax: 318-574-4739 | |
Madison High Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S. Chestnut, Tallulah, LA 71282 Phone: 318-574-5371 Fax: 318-574-5345 | |
Alice Robert, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincoln St, Tallulah, LA 71282 Phone: 504-782-7848 Fax: 318-574-3900 |