Provider Demographics
NPI:1053164061
Name:FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION
Entity type:Organization
Organization Name:FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORDOYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-446-2680
Mailing Address - Street 1:804 S ACADIA RD
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4850
Mailing Address - Country:US
Mailing Address - Phone:985-446-2680
Mailing Address - Fax:
Practice Address - Street 1:804 S ACADIA RD
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4850
Practice Address - Country:US
Practice Address - Phone:985-446-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty