institution
Southern Podiatry Clinic Llc
Podiatric Clinic/Center in Bogalusa, Louisiana
NPI 1992122642

Southern Podiatry Clinic Llc is a Podiatric Clinic/Center based in Bogalusa, LA and is specialized in Podiatric. Southern Podiatry Clinic Llc practices in Bogalusa, LA. The NPI Number for Southern Podiatry Clinic Llc is 1992122642 and holds a License No. DPM.200052 (Louisiana).

The current practice location address for Southern Podiatry Clinic Llc is 537 Kentucky Ave Ste B, Bogalusa, LA and can be reached out via phone at 985-215-5618 and via fax at 985-732-0100.

Location: 537 Kentucky Ave Ste B, Bogalusa, LA, 70427-3913
institution
Provider Profile Details
NPI Number
1992122642
Provider Name
Southern Podiatry Clinic Llc
Credential
Provider Entity Type
Organization
Address
537 Kentucky Ave Ste B, Bogalusa, LA, 70427-3913
Phone Number
985-215-5618
Fax Number
985-732-0100
Provider Enumeration Date
03/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
537 Kentucky Ave Ste B
City
State
Zip
70427-3913
Phone Number
985-215-5618
Fax Number
985-732-0100
person
Provider Business Mailing Address Details
Address
537 Kentucky Ave Ste B
City
State
Zip
70427-3913
Phone Number
985-215-5618
Fax Number
985-732-0100
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
DPM.200052 (Louisiana)
Definition
Definition to come...
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