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Organization

HARBINGER MEDICAL GROUP, LLC

Active
Other names
Tides Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE DUMOND (VICE PRESIDENT OF FINANCE)
(188) 849-4444
Entity
Organization

Contact information

Practice address
1819 W PINHOOK RD STE 206, LAFAYETTE, LA 70508-3731
(188) 849-4444
Mailing address
1819 W PINHOOK RD STE 206, LAFAYETTE, LA 70508-3731
(188) 849-4444

Taxonomy

Speciality
Code
Description
License number
State
246YC3302X
Physician Office Based Coding Specialist
Primary

Other

Enumeration date
09/18/2020
Last updated
11/18/2020
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