Mandeville Private Physician Group
Mandeville Private Physician Group is a Family Medicine Physician in Covington, Louisiana. Licensed in Louisiana. Registered with an NPI since 2014.
- Licensed in
- LA
- In the registry since
- 2014
Practice location Address checks out
141 Lakeview CirCovington, LA 70433-7513
Phone: (985) 630-9618
Fax: (985) 231-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 025708 (LA) |
|---|
Record details
| NPI number | 1437553617 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Jeansonne — Physician · (985) 630-9618 |
| NPI enumerated | October 16, 2014 |
| Last updated in NPPES | May 1, 2017 |
| Mailing address | Po Box 335, Mandeville, LA 70470-0335 |
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