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3801 Canal St Ste 100 New Orleans LA 70119-6043 | |
(504) 319-7431 | |
(504) 644-4889 |
Full Name | |
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Speciality | General Practice |
Location | 3801 Canal St Ste 100, New Orleans, Louisiana |
Authorized Official Name and Position | Christopher Jones (CEO) |
Authorized Official Contact | 5043196734 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3801 Canal St Ste 100 New Orleans LA 70119-6043 Ph: (504) 319-7431 | 3801 Canal St Ste 100 New Orleans LA 70119-6043 Ph: (504) 319-7431 |
NPI Number | 1013493725 |
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Provider Enumeration Date | 07/16/2018 |
Last Update Date | 07/16/2018 |
Identifier | Type | State | Issuer |
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1013493725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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