NPI Provider: 1164428629
Contact Name: VELLANKI PRASAD ANU
Position: M.D.
Phone: (225) 869-9200
St. James Primary Care Information:
St. James Primary Care organization have npi 1164428629, taxonomy code is 261QR1300X with license number is 110 in . This Business address located in PO Box 419, Gramercy, LA 70052 Louisiana.
Practice Location
Address: 827 Pine St, Gramercy, LA 70052
Phone: (225) 869-9200
Business Location
Address: PO Box 419, Gramercy, LA 70052
Phone: (225) 869-9200
Fax: (225) 869-9241
Taxonomy
Taxonomy Code: 261QR1300X
License Number: 110
License Number of State: LA
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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