Provider Demographics
NPI:1700356789
Name:JOHN R. MACGREGOR JR. M.D. (APMC)
Entity Type:Organization
Organization Name:JOHN R. MACGREGOR JR. M.D. (APMC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN R
Authorized Official - Middle Name:
Authorized Official - Last Name:MACGREGOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:985-626-3400
Mailing Address - Street 1:1502 WEST CAUSEWAY APPROACH, SUITE D
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471
Mailing Address - Country:US
Mailing Address - Phone:985-626-3400
Mailing Address - Fax:985-629-4433
Practice Address - Street 1:1502 WEST CAUSEWAY APPROACH, SUITE D
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471
Practice Address - Country:US
Practice Address - Phone:985-626-3400
Practice Address - Fax:985-629-4433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site