Organization
SOUTHERN SURGICAL SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY ESCHETTE CST/CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(985) 805-0921
Entity
Organization
Contact information
Practice address
203 PENDLETON DR, HOUMA, LA 70360-3929
(985) 805-0921
Mailing address
203 PENDLETON DR, HOUMA, LA 70360-3929
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
140601
LA
Other
Enumeration date
05/26/2015
Last updated
10/06/2015
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