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Organization

ALBERT TYDINGS MD, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT IRVING TYDINGS M.D. (PRESIDENT)
(985) 892-1111
Entity
Organization

Contact information

Practice address
121 LAKEVIEW CIR STE C, COVINGTON, LA 70433-7513
(985) 892-1111
(985) 892-1116
Mailing address
121 LAKEVIEW CIR STE C, COVINGTON, LA 70433-7513
(985) 892-1111
(985) 892-1116

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05024R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1300446
LA
05
2128906
LA
Enumeration date
02/14/2011
Last updated
09/12/2011
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