Provider First Line Business Practice Location Address:
8166 MAIN ST.
Provider Second Line Business Practice Location Address:
DEPT. OF SURGERY TERREBONNE GENERAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
HOUMA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-873-4235
Provider Business Practice Location Address Fax Number:
985-873-3771
Provider Enumeration Date:
03/06/2012