OrganizationActive
Camellia City Obstetrics and Gynecology
NPI 1184634040 · Obstetrics & Gynecology Physician · Slidell, LA
Provider details
- NPI number
- 1184634040
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Clavin, Authorized Agent(985) 781-4848
- License
- 90577 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1150 Robert Blvd
Suite 360
Slidell, LA 70458-2004
Phone: (985) 781-4848
Fax: (985) 781-4850
Approximate (ZIP-level) locationGet directions
Mailing address
1150 Robert Blvd
Slidell, LA 70458-2004
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2011-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.