NORTHSHORE FAMILY MEDICINE, LLC

COVINGTON, LA
NPI1134194095
Entity TypeOrganization
Authorized ContactCHARLES BALETTE
Owner
985-875-9166
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-02-22
Last Update Date2009-10-29
Business Address
NORTHSHORE FAMILY MEDICINE, LLC
1119 S TYLER ST
COVINGTON, LA 70433-2327
Phone number: 985-875-9166
Mailing Address
NORTHSHORE FAMILY MEDICINE, LLC
1417 STILLWATER DR
MANDEVILLE, LA 70471-7452
Phone number: 985-875-9166
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