Organization
SOUTHERN UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R ELDREDGE (MANAGER)
(337) 769-7779
Entity
Organization
Contact information
Practice address
120 RUE LOUIS XIV BLDG 2, LAFAYETTE, LA 70508-5739
(337) 769-7779
(337) 769-7800
Mailing address
120 RUE LOUIS XIV BLDG 2, LAFAYETTE, LA 70508-5739
(337) 769-7779
(337) 769-7800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
07/17/2024
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