Southeast Neuroscience Center, LLC

NPI #1285630129 in Gray, Louisiana

Provider Information

NPI Number: 1285630129
Entity Type: Organization
Organization Name: Southeast Neuroscience Center, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 24, 2005
Last Updated: Aug 20, 2016

Practice Location

Address: 128 NEUROSCIENCE CT
City: Gray
State: Louisiana
ZIP Code: 70359
Phone: (985) 917-3007

Authorized Official

Name: MR. GABRIEL LEE NUGENT
Title: DIRECTOR
Phone: (985) 850-6805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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