# J. WILLIAM GROVES, JR., M.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740545466
- **Authorized official:** DR. JAMES WILLIAM GROVES JR. M.D. (OWNER)
- **Authorized official phone:** (337) 480-5530

## Contact information

- **Practice address:** 1890 W GAUTHIER RD STE 130, LAKE CHARLES, LA 70605-7179
- **Practice address phone:** (337) 480-5530
- **Practice address fax:** (337) 480-5531
- **Mailing address:** 1890 W GAUTHIER RD STE 130, LAKE CHARLES, LA 70605-7179
- **Mailing address phone:** (337) 480-5530
- **Mailing address fax:** (337) 480-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD.201254 | LA | Yes |

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 08/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1014826 | — | LA |
