Blue Bayou Services Group Inc | |
6221 S Claiborne Ave Ste B614 New Orleans LA 70125-4142 | |
(504) 339-2302 | |
Not Available |
Full Name | Blue Bayou Services Group Inc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 6221 S Claiborne Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Kenneth J Manas (CEO) |
Authorized Official Contact | 5043392302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Bayou Services Group Inc 6221 S Claiborne Ave Ste B614 New Orleans LA 70125-4142 Ph: () - | Blue Bayou Services Group Inc 6221 S Claiborne Ave Ste B614 New Orleans LA 70125-4142 Ph: (504) 339-2302 |
NPI Number | 1821310020 |
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Provider Enumeration Date | 02/16/2010 |
Last Update Date | 02/16/2010 |
Identifier | Type | State | Issuer |
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1821310020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 06583R (Louisiana) | Primary |
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