Northshore Interventional Pain Management, Apmc

NPI #1114963501 in Covington, Louisiana

Provider Information

NPI Number: 1114963501
Entity Type: Organization
Organization Name: Northshore Interventional Pain Management, Apmc
Primary Specialty: Specialist
Enumeration Date: Jun 22, 2006
Last Updated: Mar 10, 2015

Practice Location

Address: 7015 HIGHWAY 190 EAST SERVICE RD
Address 2: STE. 101
City: Covington
State: Louisiana
ZIP Code: 70433-4960
Phone: (985) 809-1997

Authorized Official

Name: MRS. PAULETTE WATTS
Title: BUSINESS MANAGER
Phone: (985) 809-1997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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