Johnny Kevin Ingram in Vidalia - Family Medicine
Johnny Kevin Ingram - NPI 1437100419
Johnny Kevin Ingram is a Family Medicine in Vidalia, Louisiana. Johnny Kevin Ingram practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Johnny Kevin Ingram is 1437100419. The last update date is 2014-02-10.
Johnny Kevin Ingram's current location address is 1154 Logan Sewell Dr, Vidalia, Louisiana. You can contact this provider via phone number 3183368166 and fax number 3183368169. The mailing address for Johnny Kevin Ingram is 1154 Logan Sewell Dr, Vidalia, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Kevin Ingram |
|---|---|
| Address | 1154 Logan Sewell Dr, Vidalia, Louisiana |
| Phone Number | 3183368166 |
| Fax Number | 3183368169 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437100419 |
|---|---|
| Provider Enumeration Date | 2006-05-13 |
| Last Updated Date | 2014-02-10 |
Provider Mailing Address Detail
| Address | 1154 Logan Sewell Dr |
|---|---|
| City | Vidalia |
| State | Louisiana (LA) |
| Post Code | 713733342 |
| Phone Number | 3183368166 |
| Fax Number | 3183368169 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD200671 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1066435 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Johnny Kevin Ingram?
The Johnny Kevin Ingram has been issued the NPI (National Provider Identifier) 1437100419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Johnny Kevin Ingram is located?
The Johnny Kevin Ingram is situated at the following address: 1154 Logan Sewell Dr, Vidalia, LA, 713733342.
What is Johnny Kevin Ingram's specialized field of practice, and what is the corresponding taxonomy classification code?
The Johnny Kevin Ingram's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1437100419 assigned to Johnny Kevin Ingram?
The Johnny Kevin Ingram was issued its 1437100419 on 2006-05-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Johnny Kevin Ingram most recently updated or revised?
The information pertaining to Johnny Kevin Ingram, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-10.
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