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Organization

BITARS SPECIALTY CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAMILLE NASIM BITAR M.D. (OWNER/MD)
(985) 774-9113
Entity
Organization

Contact information

Practice address
7015 HIGHWAY 190 EAST SERVICE RD STE 200, COVINGTON, LA 70433-4960
(985) 643-0075
(985) 646-0430
Mailing address
PO BOX 608, SLIDELL, LA 70459-0608
(985) 643-0075
(985) 646-0430

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
09189R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1822523
LA
Enumeration date
01/12/2010
Last updated
06/11/2024
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