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NPI Code Detail

MEDICARE: MARY FELICIA CASE PA-C

MEDICARE:   MARY FELICIA CASE  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantA10182LA

General Provider Information

NPI Number : 1184695223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY FELICIA CASE PA-C
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 337-470-2739
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 4809 AMBASSADOR CAFFERY PKWY STE 110
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-8800
Country : US
Telephone Number : 337-235-7898
Fax Number : 337-235-7445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 09/28/2022

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Directions to “ MARY FELICIA CASE PA-C” Practice Location

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