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201 Decatur St New Orleans LA 70130-1015 | |
(504) 609-3833 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 201 Decatur St, New Orleans, Louisiana |
Authorized Official Name and Position | Katherine Key Cardwell (AVP) |
Authorized Official Contact | 5048427208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | 201 Decatur St New Orleans LA 70130-1015 Ph: (504) 609-3833 |
NPI Number | 1003328444 |
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Provider Enumeration Date | 10/25/2017 |
Last Update Date | 10/25/2017 |
Identifier | Type | State | Issuer |
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1003328444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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