# STEPHEN G SCULLY M D CAROL W SARTIN M D & SUSAN G SCIONEAUX M D P M C

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

## Provider details

- **NPI number:** 1609943018
- **Authorized official:** STEPHEN GERALD SCULLY MD (PRESIDENT)
- **Authorized official phone:** (985) 230-7263

## Contact information

- **Practice address:** 4648 I 10 SERVICE ROAD, METAIRIE, LA 70001
- **Practice address phone:** (504) 883-4800
- **Practice address fax:** (504) 883-5554
- **Mailing address:** PO BOX 73309, METAIRIE, LA 70033-3309
- **Mailing address phone:** (504) 883-4800
- **Mailing address fax:** (504) 883-5554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 06/23/2008