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1598311029
SOUTHERN LOUISIANA MEDICAL GROUP, LLC
SLIDELL, LA
NPI
1598311029
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Entity Type
Organization
Authorized Contact
KAREN DRAKE
General Manager
504-229-7451
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-08-12
Last Update Date
2020-10-09
Business Address
SOUTHERN LOUISIANA MEDICAL GROUP, LLC
2104 GAUSE BLVD W STE A
SLIDELL, LA 70460-4130
Phone number: 985-643-4575
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Mailing Address
SOUTHERN LOUISIANA MEDICAL GROUP, LLC
PO BOX 7462
SLIDELL, LA 70469-7462
Phone number: 985-643-4575
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