MMG NELSON RD LLC is a general practice in Lake Charles, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee MMG NELSON RD LLC NPI is 1295103844. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4345 NELSON RD STE 102
LAKE CHARLES, LA
ZIP 70605-183
Phone: (337) 480-7900
Fax: (337) 602-6358
The provider's authorized official is Dawn Johnson-hatcher .
The authorized official title is Cfo and has the following contact phone number (337) 494-2094.
The CLIA number assigned to this NPI record is 19D2153570 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/11/2015 and was last updated on 12/4/2023.