Neuroscience Center Of The South
Physical Medicine & Rehabilitation, Pain Medicine in Covington, LA. Organization (NPI-2).
NPI number1003281577
StatusActive
Last updated in NPPESDec 9, 2015
Details
- NPI
- 1003281577
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuroscience Center Of The South
- Organization subpart
- No
- Enumeration date
- Dec 9, 2015
- Last updated
- Dec 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Practice location
76 Starbrush CirCovington, LA 70433-7208
Phone 985-892-8934 · Fax 985-871-8109
Mailing address
76 Starbrush CirCovington, LA 70433-7208
Phone 985-892-8934 · Fax 985-871-8109
Authorized official
Chad Domangue
Partner
9858010575
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