| Southern Belle Group Inc | |
|
1631 Elysian Fields Ave Suite B106 New Orleans LA 70117-8208 | |
| (504) 339-1149 | |
| Not Available |
| Full Name | Southern Belle Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1631 Elysian Fields Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Charles P Werner (CEO) |
| Authorized Official Contact | 5043391149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Belle Group Inc 1631 Elysian Fields Ave Suite B106 New Orleans LA 70117-8208 Ph: () - | Southern Belle Group Inc 1631 Elysian Fields Ave Suite B106 New Orleans LA 70117-8208 Ph: (504) 339-1149 |
| NPI Number | 1194047308 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194047308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14301R (Louisiana) | Primary |
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