Southern Urology LLC

NPI #1104534965 in New Iberia, Louisiana

Provider Information

NPI Number: 1104534965
Entity Type: Organization
Organization Name: Southern Urology LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN UROLOGY LLC
Primary Specialty: Urology
Enumeration Date: Nov 10, 2022
Last Updated: Apr 2, 2024

Practice Location

Address: 2308 E MAIN ST STE A
City: New Iberia
State: Louisiana
ZIP Code: 70560-4029
Phone: (337) 408-8676

Authorized Official

Name: MARK ROBERT ELDREDGE
Title: AO
Phone: (337) 769-7779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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