Dr. Gary Birdsall Medical Clinic Llc is a health care provider in Cut Off, LA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||102 W 112th St, Cut Off, LA 70345-3628, US|
|Practice Location Phone||985-632-5222|
|Practice Location Fax||985-632-4222|
|Legal Business Name||DR. GARY BIRDSALL MEDICAL CLINIC LLC|
|Enumeration Date ?||Sep 27, 2013|
|Last Update Date ?||Mar 21, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Dr. Gary Birdsall Medical Clinic Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Gary Birdsall (MD)|
|Authorized Official Title/Position||MD/OWNER|
|Authorized Official Phone Number||985-632-5222|