SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC

BASTROP, LA
NPI1225453335
Entity TypeOrganization
Authorized ContactCHARLES G GLADNEY
Owner
318-281-0078
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2014-02-26
Last Update Date2014-02-26
Business Address
SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC
1523 TEXAS AVE
BASTROP, LA 71220-4043
Phone number: 318-281-0078
Mailing Address
SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC
1523 TEXAS AVE
BASTROP, LA 71220-4043
Phone number: 318-281-0078
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