Family Doctors | |
175 Hector Ave Gretna LA 70056-2590 | |
(504) 349-6925 | |
(504) 361-5310 |
Full Name | Family Doctors |
---|---|
Speciality | Pediatrics |
Location | 175 Hector Ave, Gretna, Louisiana |
Authorized Official Name and Position | Heidi A Gwinn (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5043491297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Doctors 175 Hector Ave Gretna LA 70056-2590 Ph: (504) 349-6925 | Family Doctors 175 Hector Ave Gretna LA 70056-2590 Ph: (504) 349-6925 |
NPI Number | 1457426439 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457426439 | NPI | - | NPPES |
1942545 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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