# SOUTHERN BELLE GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194047308
- **Authorized official:** CHARLES P WERNER (CEO)
- **Authorized official phone:** (504) 339-1149

## Contact information

- **Practice address:** 1631 ELYSIAN FIELDS AVE, SUITE B106, NEW ORLEANS, LA 70117-8208
- **Practice address phone:** (504) 339-1149
- **Mailing address:** 1631 ELYSIAN FIELDS AVE, SUITE B106, NEW ORLEANS, LA 70117-8208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14301R | LA | Yes |

## Other

- **Enumeration date:** 02/16/2010
- **Last updated:** 02/16/2010