Gulf South Medical & Surgical Institute

Organization Dermatopathology Physician · NPI 1104862085

Gulf South Medical & Surgical Institute is a Dermatopathology Physician in Kenner, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in: LA
In the registry since: 2006

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Practice location Address checks out

3705 Florida Ave
Kenner, LA 70065-3031
Phone: (504) 471-3100
Fax: (504) 471-3109

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Specialties & licences

Dermatopathology Physician (primary)	Taxonomy 207ND0900X · Licence 207ND0900X (LA)

Record details

NPI number	1104862085
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	George Farber — Director · (504) 471-3100
NPI enumerated	June 21, 2006
Last updated in NPPES	August 22, 2020
Mailing address	Po Box 459, Kenner, LA 70063-0459