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Organization
MEDICAL MANAGERS
Active
Organization
MEDICAL MANAGERS
Active
Other names
Hospital Internal Medicine Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN NATHANIEL DRAKE RN (COO)
(985) 869-7838
Entity
Organization
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(985) 869-7838
Mailing address
1170 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3038
(985) 869-7838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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