Organization
ST ANNE ER GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JACKSON DEASE III MD (CEO)
(985) 249-5600
Entity
Organization
Contact information
Practice address
4608 HIGHWAY 1, RACELAND, LA 70394-2623
(985) 537-6841
(985) 537-8296
Mailing address
229 SAINT JOHN LN, COVINGTON, LA 70433-3276
(985) 773-1847
(985) 249-5618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
07/26/2019
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