| Children's Clinic A Medical Corporation | |
|
1301 Whitney Ave Gretna LA 70056-5025 | |
| (504) 367-8777 | |
| (504) 367-0133 |
| Full Name | Children's Clinic A Medical Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 1301 Whitney Ave, Gretna, Louisiana |
| Authorized Official Name and Position | James Fortino (OWNER) |
| Authorized Official Contact | 5043678777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Clinic A Medical Corporation 1301 Whitney Ave Gretna LA 70056-5025 Ph: (504) 367-8777 | Children's Clinic A Medical Corporation 1301 Whitney Ave Gretna LA 70056-5025 Ph: (504) 367-8777 |
| NPI Number | 1578940060 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578940060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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