Organization
SDV HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MELANCON NP (CFO)
(225) 301-2982
Entity
Organization
Contact information
Practice address
3024 WESTFORK DR STE B, BATON ROUGE, LA 70816-2252
(225) 229-3254
Mailing address
4520 S. SHERWOOD FOREST SUITE 104, #389, BATON ROUGE, LA 70816
(225) 229-3254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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