Organization · Type 2 NPI
Jefferson Community Health Care Centers Inc
General Practice Physician · Avondale, LA
NPI number
1124000773
Active
Practice location
4028 Highway 90 W
Avondale, LA 70094-2622
Fax (504) 436-2224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1124000773
Jefferson Community Health Care Centers Inc's National Provider Identifier is 1124000773, issued on Nov 18, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Avondale, LA. The record was last updated on Aug 22, 2020.