| |
411 N Carrollton Ave Ste 4 New Orleans LA 70119-4753 | |
(504) 842-7400 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 411 N Carrollton Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Katherine K 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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Po Box 54851 New Orleans LA 70154-4851 Ph: (504) 842-4000 | 411 N Carrollton Ave Ste 4 New Orleans LA 70119-4753 Ph: (504) 842-7400 |
NPI Number | 1184051765 |
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Provider Enumeration Date | 09/27/2013 |
Last Update Date | 09/27/2013 |
Identifier | Type | State | Issuer |
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1184051765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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