Organization
OMNI PAIM MANAGEMENT PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MILLER (CO-MANAGER)
(985) 643-3188
Entity
Organization
Contact information
Practice address
700 GAUSE BLVD STE 101, SLIDELL, LA 70458-2852
(985) 643-3188
(985) 643-3770
Mailing address
PO BOX 1725, KENNER, LA 70063-1725
(504) 469-1960
(504) 469-1979
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
21410
LA
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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