# PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smucker Gentilly Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427464106
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 14601 OLD GENTILLY RD, NEW ORLEANS, LA 70129-2347
- **Practice address phone:** (504) 254-8506
- **Practice address fax:** (504) 254-8475
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 02/04/2026