| |
5640 Read Blvd New Orleans LA 70127-3140 | |
(504) 207-3060 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 5640 Read Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Michael Griffin (CEO/PRESIDENT) |
Authorized Official Contact | 5042073060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5640 Read Blvd New Orleans LA 70127-3140 Ph: (504) 207-3060 | 5640 Read Blvd New Orleans LA 70127-3140 Ph: (504) 207-3060 |
NPI Number | 1831473396 |
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Provider Enumeration Date | 10/03/2011 |
Last Update Date | 10/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831473396 | NPI | - | NPPES |
220033 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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