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Organization
OPEN AIR OF MSLOU LLC
Active
Organization
OPEN AIR OF MSLOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK G HOWARD (MANAGING MEMBER)
(337) 291-9161
Entity
Organization
Contact information
Practice address
54 SEARGENT PRENTISS DR S, SUITE 100, NATCHEZ, MS 39120
(601) 442-2585
(601) 442-6299
Mailing address
54 SEARGENT PRENTISS DR S, SUITE 100, NATCHEZ, MS 39120
(601) 442-2585
(601) 442-6299
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124853
—
MS
05
—
1442208
—
LA
Enumeration date
07/15/2005
Last updated
02/13/2015
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