Organization
METAIRIE INSTITUTE COMPREHENSIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLI SUTHERLIN (BILLING MANAGER)
(985) 327-3044
Entity
Organization
Contact information
Practice address
231 SAINT ANN DR, STE 2, MANDEVILLE, LA 70471-3219
(985) 624-5410
(985) 624-5490
Mailing address
231 SAINT ANN DR, STE 2, MANDEVILLE, LA 70471-3219
(985) 624-5410
(985) 624-5490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119156
—
LA
Enumeration date
10/24/2007
Last updated
06/23/2008
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