Southern Medical Associates

NPI #1861646739 in Gonzales, Louisiana

Provider Information

NPI Number
1861646739
Entity Type
Organization
Organization Name
Southern Medical Associates
Primary Specialty
Internal Medicine
Enumeration Date
Nov 5, 2008
Last Updated
Nov 5, 2008

Practice Location

Address
2524 S. PHILIPPE AVENUE
ZIP Code
70737
Phone
(225) 644-1990

Authorized Official

Name
GERTRUDE GBOLOO, MD
Title
OWNER
Phone
(225) 644-1990

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine

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