Organization
SOUTHWEST MISSISSIPPI ANESTHESIA
Active
Organization
SOUTHWEST MISSISSIPPI ANESTHESIA
Active
Other names
The Feldman Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BETH H BROADWAY (ADMINISTRATOR)
(225) 201-0950
Entity
Organization
Contact information
Practice address
505 E AIRPORT AVE, BATON ROUGE, LA 70806-6515
(225) 201-0950
(225) 923-3488
Mailing address
505 E AIRPORT AVE, BATON ROUGE, LA 70806-6515
(225) 201-0950
(225) 923-3488
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447374
—
LA
Enumeration date
02/02/2007
Last updated
09/17/2009
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