specializing in general practice in Covington, Louisiana

NPI: 1568743375

Provider Type

2

Practice Locations

Mailing Location

PO BOX 1602

MANDEVILLE, LA 70470

📞 9858932223

Practice Location

301 N HIGHWAY 190

COVINGTON, LA 70433

📞 9858932223

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:9/7/2011
Last Updated:9/7/2011

Credentials

Primary Credential: