Organization
SOUTHERN NEURO SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL LANDRY (MANAGING PARTNER)
(337) 739-4939
Entity
Organization
Contact information
Practice address
113 E. ST. PETER STREET, CARENCRO, LA 70520
(225) 239-2301
(225) 341-8526
Mailing address
P.O. BOX 187, CARENCRO, LA 70520
(225) 235-2301
(225) 341-8526
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
05/25/2018
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