Healthcare Provider Details

I. General information

NPI: 1326022252
Provider Name (Legal Business Name): NATCHEZ JOSEPH MORICE III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 N VICTOR II BLVD SUITE 100
MORGAN CITY LA
70380-1326
US

IV. Provider business mailing address

1216 N VICTOR II BLVD SUITE 100
MORGAN CITY LA
70380-1326
US

V. Phone/Fax

Practice location:
  • Phone: 985-702-2229
  • Fax: 985-384-0329
Mailing address:
  • Phone: 985-702-2229
  • Fax: 985-384-0329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number14920R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: