Provider Demographics
NPI:1619629557
Name:TEAM HEALTH CARE LLC
Entity Type:Organization
Organization Name:TEAM HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-421-9225
Mailing Address - Street 1:800 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71343-2432
Mailing Address - Country:US
Mailing Address - Phone:318-545-7840
Mailing Address - Fax:318-545-7880
Practice Address - Street 1:800 AUDUBON DR
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71343-2432
Practice Address - Country:US
Practice Address - Phone:318-545-7840
Practice Address - Fax:318-545-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty