Country Clinic, LLC
Country Clinic, LLC is a Family Medicine Physician in Simmesport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
314 Christine LnSimmesport, LA 71369-2256
Phone: (318) 941-2057
Fax: (318) 941-2067
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 025398 (LA) |
|---|
Record details
| NPI number | 1609825892 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rose Kuplesky — Owner/Manager · (318) 941-2057 |
| NPI enumerated | May 8, 2006 |
| Last updated in NPPES | November 13, 2014 |
| Mailing address | Po Box 80735, Lafayette, LA 70598-0735 |