Renalsouth of Louisiana, LLC
NPI #1942209713 in Madisonville, Louisiana
Provider Information
- NPI Number
- 1942209713
- Entity Type
- Organization
- Organization Name
- Renalsouth of Louisiana, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 397 HIGHWAY 21
- Address 2
- SUITE 602
- City
- Madisonville
- State
- Louisiana
- ZIP Code
- 70447-3407
- Phone
- (985) 792-5334
Authorized Official
- Name
- MR. TOMMY JAY CARTER
- Title
- CEO
- Phone
- (205) 943-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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| Lake Charles Dialysis Center LLC | |
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