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1245275809
FAIRWAY PEDIATRICS LLC
COVINGTON, LA
NPI
1245275809
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Entity Type
Organization
Authorized Contact
KATHRYN QUARLS
Administrating Physician
985-871-7337
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-06-18
Last Update Date
2020-08-22
Business Address
FAIRWAY PEDIATRICS LLC
7020 HIGHWAY 190 SUITE C
COVINGTON, LA 70433-4954
Phone number: 985-871-7337
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Mailing Address
FAIRWAY PEDIATRICS LLC
7020 HIGHWAY 190 SUITE C
COVINGTON, LA 70433-4954
Phone number: 985-871-7337
Copy
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