MEDICARE: J P T GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	018322	LA

General Provider Information

NPI Number	:	1558683763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J P T GROUP INC

Provider Business Mailing Address
First Line	:	5000 W ESPLANADE AVE
Second Line	:	SUITE 249
City	:	METAIRIE
State	:	LA
Zip	:	70006-2551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 W ESPLANADE AVE
Second Line	:	SUITE 249
City	:	METAIRIE
State	:	LA
Zip	:	70006-2551
Country	:	US
Telephone Number	:	504-344-1945
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOSEPH P TURNER
Credential	:
Telephone Number	:	504-344-1945

Provider Enumeration Date	:	02/16/2010
Last Update Date	:	02/16/2010

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