SOUTHERN ENDOCRINOLOGY LLC NPI 1316413560

NPI Information

  • NPI: 1316413560
  • Provider Name: SOUTHERN ENDOCRINOLOGY LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 102 THOMAS RD STE 113
    WEST MONROE, LA
    ZIP 71291
  • Phone: (318) 387-3453

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NPI Details

SOUTHERN ENDOCRINOLOGY LLC is an endocrinology and diabetes and metabolism internal medicine in West Monroe, LA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SOUTHERN ENDOCRINOLOGY LLC NPI is 1316413560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 THOMAS RD STE 113
WEST MONROE, LA
ZIP 71291-365
Phone: (318) 387-3453

The provider's authorized official is Mohammad Mousa .
The authorized official title is Physician/owner and has the following contact phone number (318) 387-3453.

The enumeration date for this NPI number is 10/15/2018 and was last updated on 10/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 3/30/2025

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