| NPI | 1619463916 |
|---|---|
| Doing Business As | GULFSOUTH PULMONARY, LLC |
| Former Legal Business Name | GULFSOUTH PULMONOLOGY, LLC |
| Entity Type | Organization |
| Authorized Contact | BRANDI OGDEN Billing Manager 985-400-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-09-06 |