Individual
TERRENCE LENOIR MATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
524 MARIGNY AVE, MANDEVILLE, LA 70448-5240
(985) 373-8380
Mailing address
524 MARIGNY AVE, MANDEVILLE, LA 70448-5240
(985) 951-1007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L020886
LA
207R00000X
Internal Medicine Physician
L020886
LA
207R00000X
Internal Medicine Physician
Primary
MD.020886
LA
Other
Enumeration date
06/25/2006
Last updated
08/28/2018
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