St. James Primary Care

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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