Tangipahoa Emergency Group Llc

NPI 1205075249 - Physician Assistant - 363AM0700X

NPI Details
NPI 1205075249
Enumeration Date 02/16/2009
Last Updated 02/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLIAM C WILLIAM
Position CEO
Phone (800) 893-9698
Fax
Practice Location
52579 HIGHWAY 51 S
INDEPENDENCE LA, 70443-2231, US
Phone (800) 893-9698
Fax
Business Location
200 CORPORATE BLVD
SUITE 201
LAFAYETTE LA, 70508-3870, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number
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According to our database, Tangipahoa Emergency Group Llc NPI is 1205075249, taxonomy code is 363AM0700X Tangipahoa Emergency Group Llc physically located at 52579 Highway 51 S, Independence LA, 70443-2231. NPI Number 1033115704 has the healthcare provider type.

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1205075249 NPI number is provided on an as is basis without warranty of any kind. 1205075249 is maintained by the National Plan & Provider Enumeration System. The contents of Tangipahoa Emergency Group Llc are for informational purposes only.