Organization
SOUTHERN PULMONARY AND SLEEP, LLC
Active
Organization
SOUTHERN PULMONARY AND SLEEP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS KNOWER MD (PRESIDENT)
(985) 273-3035
Entity
Organization
Contact information
Practice address
101 JUDGE TANNER BLVD, SUITE 506, COVINGTON, LA 70433-7503
(985) 273-3035
(985) 273-3036
Mailing address
101 JUDGE TANNER BLVD, SUITE 506, COVINGTON, LA 70433-7503
(985) 273-3035
(985) 273-3036
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD-023395
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08729581
—
MS
05
—
1496995
—
LA
05
—
2366173
—
LA
Enumeration date
03/12/2008
Last updated
07/18/2014
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