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Organization
PREMIER OBGYN SPECIALISTS, LLC
Active
Organization
PREMIER OBGYN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNING K SANDERS MD (MEMBER)
(985) 223-8994
Entity
Organization
Contact information
Practice address
8120 MAIN ST, SUITE 202, HOUMA, LA 70360-3403
(985) 223-8994
(985) 655-8994
Mailing address
PO BOX 349, HOUMA, LA 70361-0349
(985) 223-8994
(985) 655-8994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
03/22/2011
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