| Dyess Medical Center Incorporated | |
|
# 12 Westside Expressway Gretna LA 70053 | |
| (504) 368-3100 | |
| (504) 368-0555 |
| Full Name | Dyess Medical Center Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | # 12 Westside Expressway, Gretna, Louisiana |
| Authorized Official Name and Position | James Malcolm Dyess (PHYSICIAN) |
| Authorized Official Contact | 5043683100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dyess Medical Center Incorporated 100 Merganser Dr Mandeville LA 70448-6607 Ph: (985) 951-8941 | Dyess Medical Center Incorporated # 12 Westside Expressway Gretna LA 70053 Ph: (504) 368-3100 |
| NPI Number | 1508963968 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508963968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023074 (Louisiana) | Primary |
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