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Organization

SOUTHERN BELLE GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES P WERNER (CEO)
(504) 339-1149
Entity
Organization

Contact information

Practice address
1631 ELYSIAN FIELDS AVE, SUITE B106, NEW ORLEANS, LA 70117-8208
(504) 339-1149
Mailing address
1631 ELYSIAN FIELDS AVE, SUITE B106, NEW ORLEANS, LA 70117-8208

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14301R
LA

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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