Organization
SOUTHERN ENDOCRINOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD MOUSA MD (PHYSICIAN/OWNER)
(318) 387-3453
Entity
Organization
Contact information
Practice address
102 THOMAS RD STE 113, WEST MONROE, LA 71291-7365
(318) 387-3453
Mailing address
2026 ROSEDOWN DR, MONROE, LA 71201-3083
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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