| |
3308 Tulane Ave Ste 411 New Orleans LA 70119-7100 | |
(504) 821-9111 | |
(504) 821-9198 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3308 Tulane Ave Ste 411, New Orleans, Louisiana |
Authorized Official Name and Position | Elisha Hatch (OWNER) |
Authorized Official Contact | 5048219111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3025 Whitty Dr Slidell LA 70461-1380 Ph: (504) 821-9111 | 3308 Tulane Ave Ste 411 New Orleans LA 70119-7100 Ph: (504) 821-9111 |
NPI Number | 1265467799 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
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1265467799 | NPI | - | NPPES |
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