Organization
SURGERY & HYPERBARIC MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD KENNETH MANN JR. DDS, MD (CEO)
(985) 785-2218
Entity
Organization
Contact information
Practice address
1057 PAUL MAILLARD RD, SUITE 250, LULING, LA 70070-4349
(985) 785-2218
(985) 785-7753
Mailing address
PO BOX 1764, 1057 PAUL MAILLARD ROAD SUITE 250, LULING, LA 70070-1764
(985) 785-2218
(985) 785-7753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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