Organization
STEPHEN G SCULLY M D CAROL W SARTIN M D & SUSAN G SCIONEAUX M D P M C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GERALD SCULLY MD (PRESIDENT)
(985) 230-7263
Entity
Organization
Contact information
Practice address
4648 I 10 SERVICE ROAD, METAIRIE, LA 70001
(504) 883-4800
(504) 883-5554
Mailing address
PO BOX 73309, METAIRIE, LA 70033-3309
(504) 883-4800
(504) 883-5554
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940577
—
LA
Enumeration date
11/29/2006
Last updated
06/23/2008
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