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GULF SOUTH MEDICAL & SURGICAL INSTITUTE INC. NPI 1437320231


NPI Information

NPI: 1437320231
Provider Name: GULF SOUTH MEDICAL & SURGICAL INSTITUTE, INC.

Doing Business As: COVINGTON DERMATOLOGY CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
600 N HIGHWAY 190 STE 201
COVINGTON, LA
ZIP 70433
Phone: (985) 892-5497
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GULF SOUTH MEDICAL & SURGICAL INSTITUTE, INC. is a specialist in Covington, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GULF SOUTH MEDICAL & SURGICAL INSTITUTE, INC. NPI is 1437320231. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Covington Dermatology Clinic.

The provider's business location address is:

600 N HIGHWAY 190 STE 201
COVINGTON, LA
ZIP 70433-083
Phone: (985) 892-5497
Fax: (985) 892-9088

The provider's authorized official is George Allen Farber .
The authorized official title is Medical Director/owner and has the following contact phone number (504) 471-3100.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist207NI0002XLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114723MEDICAIDLOUISIANA
25CQ92MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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