| Community Medical Group- St Bernard Inc | |
|
8050 W Judge Perez Dr Suite 2300 Chalmette LA 70043-1734 | |
| (504) 826-9655 | |
| (504) 826-9656 |
| Full Name | Community Medical Group- St Bernard Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8050 W Judge Perez Dr, Chalmette, Louisiana |
| Authorized Official Name and Position | John W Mcdaniel (MANAGING DIRECTOR) |
| Authorized Official Contact | 5045222014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group- St Bernard Inc Po Box 789 Ocean Springs MS 39566-0789 Ph: (228) 818-0563 | Community Medical Group- St Bernard Inc 8050 W Judge Perez Dr Suite 2300 Chalmette LA 70043-1734 Ph: (504) 826-9655 |
| NPI Number | 1205264868 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205264868 | NPI | - | NPPES |
| 331631 | Other | LA | MEDICARE PTAN |
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