Individual provider · Type 1 NPI
Martha Damron Wickett, MD
Public Health or Welfare Agency · Marrero, LA
NPI number
1295749513
Active
Practice location
5001 Westbank Expy
Marrero, LA 70072
Fax (504) 329-8703
Mailing address
3300 W Esplanade Ave, Suite 213
Metairie, LA 70002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | 010966 (LA) |
Public Health or Welfare Agency: Definition to come...
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About NPI 1295749513
Martha Damron Wickett, MD's National Provider Identifier is 1295749513, issued on Jul 29, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Marrero, LA. The record was last updated on Jul 8, 2007.