Organization · Type 2 NPI
Independence Medical Clinic, LLC
General Practice Physician · Independence, LA
NPI number
1669897609
Active
Practice location
281 W 4th St
Independence, LA 70443-2386
Mailing address
7300 Lakeshore Dr Apt 10
New Orleans, LA 70124-2462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
7 other providers at this address
- Multipractice ClinicFederally Qualified Health Center (FQHC) Independence, LA NPI 1184615726
- Alex Darrell Sharpless, DDSGeneral Practice Dentistry Independence, LA NPI 1851630511
- Amanda M. Olinde, CNMAdvanced Practice Midwife Independence, LA NPI 1437406857
- Ave' Maria Sears, LCSWClinical Social Worker Independence, LA NPI 1225375215
- Dustin Christopher White, DDSGeneral Practice Dentistry Independence, LA NPI 1487966198
- Jacqueline Reynolds Overton, LPCProfessional Counselor Independence, LA NPI 1356695811
- Miranda C. Johnston, P.A.Physician Assistant Independence, LA NPI 1003857830
About NPI 1669897609
Independence Medical Clinic, LLC's National Provider Identifier is 1669897609, issued on Feb 27, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Independence, LA. The record was last updated on Jul 10, 2014.