IPH, SLIDEL LLC

SLIDELL, LA
NPI1942585591
Entity TypeOrganization
Authorized ContactMARIE J WILLIAMS
Member/Medical Director
985-641-2202
Organization Subpart ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
Enumeration Date2011-10-14
Last Update Date2011-10-21
Business Address
IPH, SLIDEL LLC
2364 GAUSE BLVD E STE 101
SLIDELL, LA 70461-4141
Phone number: 985-641-2202
Mailing Address
IPH, SLIDEL LLC
501 MARSHALL ST SUITE 607B
JACKSON, MS 39202-1651
Phone number: 601-948-6540