Organization · Type 2 NPI

Country Clinic, LLC

Family Medicine Physician · Simmesport, LA

NPI number 1609825892 Active

Practice location

314 Christine Ln
Simmesport, LA 71369-2256

Fax (318) 941-2067

Mailing address

PO Box 80735
Lafayette, LA 70598-0735

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X025398 (LA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

About NPI 1609825892

Country Clinic, LLC's National Provider Identifier is 1609825892, issued on May 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Simmesport, LA. The record was last updated on Nov 13, 2014.