| Susan F Ovella Md And Jacques L Guillot Md | |
|
804 Heavens Dr Suite 106 Mandeville LA 70471 | |
| (985) 845-0004 | |
| (985) 845-0870 |
| Full Name | Susan F Ovella Md And Jacques L Guillot Md |
|---|---|
| Speciality | Family Medicine |
| Location | 804 Heavens Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Joe Anne Wells (MANAGER) |
| Authorized Official Contact | 9858450004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan F Ovella Md And Jacques L Guillot Md 4700 Louisiana Hwy 22 Pmb 604 Mandeville LA 70471 Ph: (985) 845-0004 | Susan F Ovella Md And Jacques L Guillot Md 804 Heavens Dr Suite 106 Mandeville LA 70471 Ph: (985) 845-0004 |
| NPI Number | 1972513117 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972513117 | NPI | - | NPPES |
| 1445975 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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