# IBERVILLE HORIZON, LLC

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

## Provider details

- **NPI number:** 1316964232
- **Authorized official:** DR. MARK ALLEN MEADOWS MD (OWNER)
- **Authorized official phone:** (225) 767-5525

## Contact information

- **Practice address:** 8595 PICARDY AVE, SUITE 430, BATON ROUGE, LA 70809-3670
- **Practice address phone:** (225) 763-4650
- **Practice address fax:** (225) 763-4656
- **Mailing address:** 8777 BLUEBONNET BLVD, SUITE B, BATON ROUGE, LA 70810-2818
- **Mailing address phone:** (225) 767-5525
- **Mailing address fax:** (225) 767-5339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 022970 | LA | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/22/2020