Organization
ALLEN T. BORNE, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM M LEGENDRE MBA (CHIEF FINANCIAL OFFICER)
(985) 492-1204
Entity
Organization
Contact information
Practice address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5009
(985) 625-2200
(985) 492-1212
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
(985) 492-1204
(985) 492-1212
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578855896
NPPES
—
Enumeration date
07/31/2017
Last updated
07/31/2017
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