Organization
PEPA WOUND CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH HODGE MD (OWNER)
(504) 906-1641
Entity
Organization
Contact information
Practice address
7301 HENNESSY BLVD STE 103, BATON ROUGE, LA 70808-4794
(225) 765-4286
(225) 765-5976
Mailing address
PO BOX 721464, NORMAN, OK 73070-8128
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2435604
—
LA
Enumeration date
07/11/2016
Last updated
09/17/2019
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