| Southern Louisiana Medical Group, Llc | |
|
2104 Gause Blvd W Ste A Slidell LA 70460-4130 | |
| (985) 643-4575 | |
| (833) 222-4520 |
| Full Name | Southern Louisiana Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2104 Gause Blvd W Ste A, Slidell, Louisiana |
| Authorized Official Name and Position | Karen Drake (GENERAL MANAGER) |
| Authorized Official Contact | 5042297451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Louisiana Medical Group, Llc Po Box 7462 Slidell LA 70469-7462 Ph: (985) 643-4575 | Southern Louisiana Medical Group, Llc 2104 Gause Blvd W Ste A Slidell LA 70460-4130 Ph: (985) 643-4575 |
| NPI Number | 1598311029 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598311029 | NPI | - | NPPES |
| 27-2182406 | Other | LA | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Aleta N. De Clouet, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 659 Brownswitch Road, Slidell, LA 70458 Phone: 985-781-7577 Fax: 985-781-7579 | |
Northlake Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Gause Blvd Ste 2, Slidell, LA 70458 Phone: 985-641-6454 Fax: 985-641-6458 | |
M A Culasso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Gause Blvd, Slidell, LA 70458 Phone: 985-649-0945 Fax: 985-643-8510 | |
Pedro A Serrant Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Suite 103, Slidell, LA 70461 Phone: 985-646-4464 Fax: 985-646-4475 | |
Crescent Urgent & Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3769 Pontchartrain Dr Ste 1, Slidell, LA 70458 Phone: 504-544-9698 Fax: 985-288-4181 | |
Linda C Mcelveen Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Ste 103, Slidell, LA 70461 Phone: 985-781-8565 | |
Clinton H. Sharp, Iii, M.d Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1051 Gause Blvd, Suite 380, Slidell, LA 70458 Phone: 985-641-8191 Fax: 985-641-9812 |