Organization
SOUTHERN ENT ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI R TORTORICH (COO)
(985) 446-5079
Entity
Organization
Contact information
Practice address
604 N. ACADIA RD STE 101, THIBODAUX, LA 70301
(985) 446-5079
(877) 795-9281
Mailing address
604 N. ACADIA RD STE 101, THIBODAUX, LA 70301
(985) 446-5079
(877) 795-9281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09823
LA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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