Ewell Bickham III

NPI 1073565370 - Family Medicine - 207Q00000X

NPI Details
NPI 1073565370
Gender Male
Enumeration Date 05/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1569 HIGHWAY 955
JACKSON LA, 70748-3916, US
Phone (225) 658-4720
Fax
Business Location
1569 HIGHWAY 955
JACKSON LA, 70748-3916, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 022207
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According to our database, Dr. Ewell Bickham III NPI is 1073565370, taxonomy code is 207Q00000X and license number is 022207, license state is located at Louisiana. Ewell Bickham III physically located at 1569 Highway 955, Jackson LA, 70748-3916. NPI Number Ewell Bickham III has the Individual type.

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1073565370 NPI number is provided on an as is basis without warranty of any kind. 1073565370 is maintained by the National Plan & Provider Enumeration System. The contents of Ewell Bickham III are for informational purposes only.