Organization
SABINE HOSPITALIST PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RAY PEARSON M.D. (AUTHORIZED OFFICIAL)
(318) 256-5691
Entity
Organization
Contact information
Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
(318) 256-6539
Mailing address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
(318) 256-6539
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029769
—
LA
Enumeration date
09/21/2007
Last updated
06/26/2009
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