Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Pediatric Clinic

Organization Pediatrics Physician · NPI 1487766804

Southern Pediatric Clinic is a Pediatrics Physician in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006

Practice location Address checks out

1416 Metro Dr
Alexandria, LA 71301-3424
Phone: (318) 561-4200
Fax: (318) 561-4205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (LA)

Record details

NPI number1487766804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Immanuel — Owner · (318) 730-9760
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 3, 2015
Mailing address5910 Dublin Rd, Alexandria, LA 71303-5234

Other providers in Alexandria