Provider Demographics
NPI:1730545633
Name:INTERNAL MEDICINE CLINIC OF MORGAN CITY
Entity type:Organization
Organization Name:INTERNAL MEDICINE CLINIC OF MORGAN CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-702-8500
Mailing Address - Street 1:1126 MARGUERITE ST
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1891
Mailing Address - Country:US
Mailing Address - Phone:985-702-8500
Mailing Address - Fax:985-702-8507
Practice Address - Street 1:1126 MARGUERITE ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1891
Practice Address - Country:US
Practice Address - Phone:985-702-8500
Practice Address - Fax:985-702-8507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty