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NPI Code Detail

MEDICARE: DAMICA GEORGE

MEDICARE:   DAMICA  GEORGE
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
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1386578193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMICA GEORGE
Provider Business Mailing Address
First Line : 1348 REDWOOD DR
Second Line :
City : HARVEY
State : LA
Zip : 70058-3814
Country : US
Telephone Number : 504-364-8949
Fax Number :
Provider Business Practice Location Address
First Line : 2439 MANHATTAN BLVD STE 207
Second Line :
City : HARVEY
State : LA
Zip : 70058-5361
Country : US
Telephone Number : 504-364-8949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ DAMICA GEORGE ” Practice Location

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