Healthcare Provider Details

I. General information

NPI: 1891085825
Provider Name (Legal Business Name): J & G MEDICAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 06/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 CROWDER BLVD SUITE B
NEW ORLEANS LA
70127-1063
US

IV. Provider business mailing address

8030 CROWDER BLVD SUITE B
NEW ORLEANS LA
70127-1063
US

V. Phone/Fax

Practice location:
  • Phone: 504-242-1700
  • Fax: 504-324-2336
Mailing address:
  • Phone: 504-242-1700
  • Fax: 504-324-2336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMARA DOESCHER
Title or Position: PRESIDENT
Credential:
Phone: 504-242-1700