Organization
SW LOUISIANA INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD KEMP COREIL MD (PARTNER)
(337) 257-2838
Entity
Organization
Contact information
Practice address
105 PATRIOT ST STE 202, LAFAYETTE, LA 70508-6831
(337) 257-2838
Mailing address
105 PATRIOT ST STE 202, LAFAYETTE, LA 70508-6831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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