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Contact Information

SOUTHERN MEDICAL HOLDING CORPORATION
12133 INDUSTRIPLEX BLVD
BATON ROUGE, LA70809-5129
 Phone: 225-756-5239
 Fax: 225-752-2614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist Cardiovascular, Sonography

246XS1301X
Indicates primary specialty

NPI Profile & details for SOUTHERN MEDICAL HOLDING CORPORATION · (Female)

NPI # 1558340083
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2006
Last updated 06/28/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 170011032
  • LA Medicaid 1121894
  • MO Medicaid 506047901
  • LA Other C3563 BLUE CROSS PROV.NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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