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NPI Code Detail

MEDICARE: VERSAILLES NEIGHBORHOOD CLINIC

MEDICARE: VERSAILLES NEIGHBORHOOD CLINIC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1194998500
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERSAILLES NEIGHBORHOOD CLINIC
Provider Business Mailing Address
First Line : 4657 ALCEE FORTIER BLVD
Second Line : SUITE A
City : NEW ORLEANS
State : LA
Zip : 70129-2140
Country : US
Telephone Number : 504-254-4011
Fax Number :
Provider Business Practice Location Address
First Line : 4657 ALCEE FORTIER BLVD
Second Line : SUITE A
City : NEW ORLEANS
State : LA
Zip : 70129-2140
Country : US
Telephone Number : 504-254-4011
Fax Number :
Authorized Official
Title or Position : BILLING OFFICE MANAGER
Name : PATRICIA MORRIS
Credential :
Telephone Number : 985-726-9333
Provider Enumeration Date : 04/07/2008
Last Update Date : 08/15/2008

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Directions to “VERSAILLES NEIGHBORHOOD CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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