Organization
PEDIATRIC CLINIC OF ST MARY PARISH APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY THORGUSON M.D. (PRESIDENT)
(985) 384-2430
Entity
Organization
Contact information
Practice address
1055 DAVID DR, MORGAN CITY, LA 70380-1300
(985) 384-2430
(985) 384-2473
Mailing address
1055 DAVID DR, MORGAN CITY, LA 70380-1300
(985) 384-2430
(985) 384-2473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/26/2005
Last updated
07/13/2010
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