Pontchartrain Pathology Apmc

NPI #1174515860 in Slidell, Louisiana

Provider Information

NPI Number: 1174515860
Entity Type: Organization
Organization Name: Pontchartrain Pathology Apmc
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Aug 18, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1001 GAUSE BLVD
City: Slidell
State: Louisiana
ZIP Code: 70458-2939
Phone: (985) 649-8802

Authorized Official

Name: JERRY HUDSON, MD
Title: PRESIDENT
Phone: (985) 649-8802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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