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Organization
PROPATH ASSOCIATES, LLC
Active
Organization
PROPATH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE PONVELLE (ADMINISTRATOR)
(985) 446-1200
Entity
Organization
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 493-4747
Mailing address
PO BOX 1178, THIBODAUX, LA 70302-1178
(800) 639-2519
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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