Primary Care Plus | |
120 Meadowcrest Street Suite 120 Gretna LA 70056-5247 | |
(504) 620-5661 | |
(504) 620-5675 |
Full Name | Primary Care Plus |
---|---|
Speciality | Internal Medicine |
Location | 120 Meadowcrest Street, Gretna, Louisiana |
Authorized Official Name and Position | Peter Alden Kellogg (ASSOCIATE GENERAL COUNSEL) |
Authorized Official Contact | 5046818532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primary Care Plus 3838 N Causeway Blvd Suite 2200 Metairie LA 70002-8194 Ph: (504) 681-8155 | Primary Care Plus 120 Meadowcrest Street Suite 120 Gretna LA 70056-5247 Ph: (504) 620-5661 |
NPI Number | 1619286093 |
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Provider Enumeration Date | 10/01/2010 |
Last Update Date | 09/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619286093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD.10349R (Louisiana) | Primary |
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