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Organization

CORNERSTONE CHILDRENS CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTI R MOODY NP (OWNER/NP)
(985) 320-9734
Entity
Organization

Contact information

Practice address
44546 S AIRPORT RD STE F, HAMMOND, LA 70403-0312
(225) 567-2812
(225) 567-2812
Mailing address
30892 HIGHWAY 43, ALBANY, LA 70711-2814
(225) 567-2812
(225) 567-2812

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Enumeration date
07/24/2020
Last updated
07/24/2020
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