Organization
SOUTHPARK ACQUISITION COMPANY LLC
Active
Other names
Southpark Hospital Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PROMOD SETH (CEO)
(337) 769-4080
Entity
Organization
Contact information
Practice address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-4080
(337) 769-4768
Mailing address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-4080
(337) 769-4768
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
11/14/2008
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