Organization
MEDICAL MANAGERS
Active
Other names
Hospital Internal Medicine Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN NATHANIEL DRAKE RN (COO)
(985) 869-7838
Entity
Organization
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(985) 869-7838
Mailing address
1170 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3038
(985) 869-7838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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