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Organization
GULFSOUTH NEUROLOGY LLC
Active
Organization
GULFSOUTH NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY COOPER (CREDENTIALING)
(985) 256-5603
Entity
Organization
Contact information
Practice address
1970 N HIGHWAY 190, COVINGTON, LA 70433-5364
(985) 867-8585
(985) 867-3644
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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