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Organization
NEUROSCIENCE CENTER OF THE SOUTH
Active
Organization
NEUROSCIENCE CENTER OF THE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD DOMANGUE M.D (PARTNER)
(985) 801-0575
Entity
Organization
Contact information
Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 892-8934
(985) 871-8109
Mailing address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 892-8934
(985) 871-8109
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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