Organization
SOUTHERN PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S DENNIS MD (OWNER)
(985) 727-7275
Entity
Organization
Contact information
Practice address
235 SAINT ANN DR, STE 2, MANDEVILLE, LA 70471-3396
(985) 727-7275
(985) 727-7915
Mailing address
235 SAINT ANN DR, STE 2, MANDEVILLE, LA 70471-3396
(985) 727-7275
(985) 727-7915
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
—
LA
Other
Enumeration date
05/09/2008
Last updated
09/30/2008
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