Organization
SOUTHERN MEDICAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO SUAREZ M.D. (OWNER)
(985) 867-3800
Entity
Organization
Contact information
Practice address
95 E FAIRWAY DR, COVINGTON, LA 70433-7500
(985) 867-3800
Mailing address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 892-3225
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
05681R
LA
Other
Enumeration date
05/31/2005
Last updated
10/30/2009
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