Organization · Type 2 NPI
Pediatric & Adolescent Clinic of Louisiana LLC
Rural Health Clinic/Center · Vidalia, LA
NPI number
1346092038
Active
Practice location
1806 Carter St
Vidalia, LA 71373-3115
Fax (318) 336-7176
Mailing address
308 Highland Blvd
Natchez, MS 39120-4611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Vidalia
About NPI 1346092038
Pediatric & Adolescent Clinic of Louisiana LLC's National Provider Identifier is 1346092038, issued on Apr 4, 2024. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Vidalia, LA. The record was last updated on May 26, 2026.