Organization
MED-PEDS ASSOCIATES APMC
Active
Other names
Susan F Ovella MD and Jacques L Guillot MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOE ANNE WELLS (MANAGER)
(985) 845-0004
Entity
Organization
Contact information
Practice address
804 HEAVENS DR, SUITE 106, MANDEVILLE, LA 70471
(985) 845-0004
(985) 845-0870
Mailing address
4700 LOUISIANA HWY 22, PMB 604, MANDEVILLE, LA 70471
(985) 845-0004
(985) 845-0870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445975
—
LA
Enumeration date
08/09/2006
Last updated
02/25/2008
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