Organization
THE CHILDRENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA G PITRE MD (MD PARTNER)
(985) 447-9045
Entity
Organization
Contact information
Practice address
807 RIDGEFIELD RD, THIBODAUX, LA 70301
(985) 447-9045
(985) 447-3349
Mailing address
807 RIDGEFIELD RD, THIBODAUX, LA 70301
(985) 447-9045
(985) 447-3349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940739
—
LA
Enumeration date
11/29/2006
Last updated
08/22/2020
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