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Organization

CENLA HEALTHCARE PHYSICAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM J HEBERT DC (PRESIDENT)
(318) 619-1112
Entity
Organization

Contact information

Practice address
3021 HIGHWAY 28 E, PINEVILLE, LA 71360-5718
(318) 619-1114
(318) 619-1115
Mailing address
3021 HIGHWAY 28 E, PINEVILLE, LA 71360-5718
(318) 619-1114
(318) 619-1115

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1438
LA
207Q00000X
Family Medicine Physician
Primary
204031
LA

Other

Enumeration date
04/05/2012
Last updated
04/05/2012
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