Organization
GULFSOUTH PULMONOLOGY, LLC
Active
Organization
GULFSOUTH PULMONOLOGY, LLC
Active
Other names
GulfSouth Pulmonary, LLC, GulfSouth Pulmonology, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI OGDEN (BILLING MANAGER)
(985) 400-5988
Entity
Organization
Contact information
Practice address
1970 N HIGHWAY 190, COVINGTON, LA 70433
(985) 400-5988
(985) 867-3644
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
(985) 400-5988
(985) 867-3644
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
09/06/2018
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