Organization
BEAUREGARD HEMATOLOG & ONCOLOGY
Active
Parent organization
BEAUREGARD HEMATOLOGY & ONCOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUREGARD HEMATOLOGY & ONCOLOGY
Authorized official
NANCY G. KENNEDY PRACTICE MANAGER (PRACTICE MANAGER)
(337) 463-4777
Entity
Organization
Contact information
Practice address
301 S. WASHINGTON ST., STE B, DERIDDER, LA 70634
(337) 463-4777
(337) 463-4770
Mailing address
301 S. WASHINGTON ST., STE B, DERIDDER, LA 70634
(337) 463-4777
(337) 463-4770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD206603
LA
207RH0003X
Hematology & Oncology Physician
MD206603
LA
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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