Individual
MR. COREY AUTHEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
855 BELANGER ST, SUITE 108, HOUMA, LA 70360-4463
(985) 709-0311
Mailing address
855 MAIN ST, SUITE 108, HOUMA, LA 70360
(985) 709-0311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07917
LA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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