Organization
INTEGRATED MEDICAL SERVICES COV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON J CURTIS III (MANAGING MEMBER)
(504) 723-8361
Entity
Organization
Contact information
Practice address
301 N HIGHWAY 190, COVINGTON, LA 70433-5016
(985) 893-2223
Mailing address
PO BOX 1602, MANDEVILLE, LA 70470-1602
(985) 893-2223
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
LA024908
LA
363L00000X
Nurse Practitioner
RN102334-AP06140
LA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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