person
Dr. Johnny Kevin Ingram, MD
Family Medicine Physician in Vidalia, Louisiana
NPI 1437100419

Johnny Kevin Ingram is a Family Medicine Physician based in Vidalia, LA. Johnny Kevin Ingram practices in Vidalia, LA and has the professional credentials of MD. The NPI Number for Johnny Kevin Ingram is 1437100419 and holds a License No. MD200671 (Louisiana).

The current practice location address for Johnny Kevin Ingram is 1154 Logan Sewell Dr, Vidalia, LA and can be reached out via phone at 318-336-8166 and via fax at 318-336-8169.

Location: 1154 Logan Sewell Dr, Vidalia, LA, 71373-3342
person
Provider Profile Details
NPI Number
1437100419
Provider Name
Johnny Kevin Ingram
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1154 Logan Sewell Dr, Vidalia, LA, 71373-3342
Phone Number
318-336-8166
Fax Number
318-336-8169
Provider Enumeration Date
05/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1066435 05 IA
institution
Provider Business Practice Location Address Details
Address
1154 Logan Sewell Dr
City
State
Zip
71373-3342
Phone Number
318-336-8166
Fax Number
318-336-8169
person
Provider Business Mailing Address Details
Address
1154 Logan Sewell Dr
City
State
Zip
71373-3342
Phone Number
318-336-8166
Fax Number
318-336-8169
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD200671 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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