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Edward Southern, M.D

NPI 1053360941 · on the registry since 2006

Practice

Address
Bayne-Jones Army Community Hospital
1585 Third St
Fort Polk, LA 71459
Phone
(337) 531-3000
Clinicians at this address
9

Registry record

Primary taxonomy
207XS0117X
207XS0117X
Also registered as
207X00000X
207XP3100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana