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Johnny Ingram, M.D
NPI 1437100419 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1154 Logan Sewell Dr
Vidalia, LA 71373 - Phone
- (318) 336-8166
- Fax
- (318) 336-8169
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana