Organization
IPH, SLIDEL LLC
Active
Organization
IPH, SLIDEL LLC
Active
Parent organization
IPH HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IPH HOLDINGS, LLC
Authorized official
MARIE J WILLIAMS (MEMBER/MEDICAL DIRECTOR)
(985) 641-2202
Entity
Organization
Contact information
Practice address
2364 GAUSE BLVD E STE 101, SLIDELL, LA 70461-4141
(985) 641-2202
(985) 641-2888
Mailing address
501 MARSHALL ST, SUITE 607B, JACKSON, MS 39202-1651
(601) 948-6540
(601) 948-6544
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/21/2011
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