Organization
PRAIRIEVILLE GENERAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-KATHERINE MOORE (EXECUTIVE DIRECTOR)
(225) 755-9765
Entity
Organization
Contact information
Practice address
37358 MARKET PLACE DR, PRAIRIEVILLE, LA 70769-3482
(225) 755-9765
Mailing address
37358 MARKET PLACE DR, PRAIRIEVILLE, LA 70769-3482
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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