Organization · Type 2 NPI
Integrated Medical Services Ham, LLC
General Practice Physician · Hammond, LA
NPI number
1619242575
Active
Practice location
303 W Minnesota Park Rd
Hammond, LA 70403-6149
Fax (985) 350-6109
Mailing address
PO Box 716
Mandeville, LA 70470-0716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | LA024908 (LA) |
| Nurse Practitioner | 363L00000X | RN102334-AP06140 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Hammond
About NPI 1619242575
Integrated Medical Services Ham, LLC's National Provider Identifier is 1619242575, issued on Mar 12, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hammond, LA. The record was last updated on Mar 12, 2012.