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NPI Code Detail

MEDICARE: PRIMARY CARE PARTNERS, LLC

MEDICARE: PRIMARY CARE PARTNERS, LLC
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
1261QP2300XPrimary Care Clinic/Center024671LA

General Provider Information

NPI Number : 1669719357
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY CARE PARTNERS, LLC
Provider Business Mailing Address
First Line : 3514 GENTILLY BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70122-4908
Country : US
Telephone Number : 504-232-4184
Fax Number :
Provider Business Practice Location Address
First Line : 3514 GENTILLY BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70122-4908
Country : US
Telephone Number : 504-232-4184
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KEITH L WINFREY
Credential : MD
Telephone Number : 504-232-4184
Provider Enumeration Date : 01/15/2013
Last Update Date : 01/15/2013

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Directions to “PRIMARY CARE PARTNERS, LLC ” Practice Location

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