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Organization

PREMIER OBGYN SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANNING K SANDERS MD (MEMBER)
(985) 223-8994
Entity
Organization

Contact information

Practice address
8120 MAIN ST, SUITE 202, HOUMA, LA 70360-3403
(985) 223-8994
(985) 655-8994
Mailing address
PO BOX 349, HOUMA, LA 70361-0349
(985) 223-8994
(985) 655-8994

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
04/20/2010
Last updated
03/22/2011
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