Healthcare Provider Details

I. General information

NPI: 1144968603
Provider Name (Legal Business Name): JULIA GRACE RINEHART MCINTYRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4641 FAIRFIELD ST STE F
METAIRIE LA
70006-2763
US

IV. Provider business mailing address

1440 CANAL ST STE 8448
NEW ORLEANS LA
70112-2703
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-7250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number345624
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: