Organization · Type 2 NPI
Southside Family Clinic LLC
Rural Health Clinic/Center · Delcambre, LA
NPI number
1073109930
Active
Practice location
506 W Highway 14
Delcambre, LA 70528-2308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073109930
Southside Family Clinic LLC's National Provider Identifier is 1073109930, issued on Dec 15, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Delcambre, LA. The record was last updated on Mar 14, 2022.