Organization
GULF SOUTH PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON CHRISTOPHER CEASAR M.D. (OWNER)
(504) 309-8135
Entity
Organization
Contact information
Practice address
3801 HOUMA BLVD, SUITE 100, METAIRIE, LA 70006-4165
(504) 309-8135
(504) 309-8156
Mailing address
3801 HOUMA BLVD, SUITE 100, METAIRIE, LA 70006-4165
(504) 309-8135
(504) 309-8156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD025275
LA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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