Organization
SPS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE HARDEN (MANAGER)
(504) 800-8058
Entity
Organization
Contact information
Practice address
6028 MAGAZINE ST, NEW ORLEANS, LA 70118-5824
(504) 800-8058
(504) 387-6538
Mailing address
6028 MAGAZINE ST, NEW ORLEANS, LA 70118-5824
(504) 800-8058
(504) 387-6538
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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