# GIANNA CENTER OF THE GULF SOUTH

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

## Provider details

- **NPI number:** 1750768040
- **Authorized official:** MRS. TARA WHITE (BOARD MEMBER)
- **Authorized official phone:** (985) 466-1919

## Contact information

- **Practice address:** 71380 LA HWY 21, SUITE 101, COVINGTON, LA 70433
- **Practice address phone:** (985) 466-1919
- **Mailing address:** 71380 LA HWY 21, SUITE 101, COVINGTON, LA 70433
- **Mailing address phone:** (985) 466-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD.207685 | LA | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 05/06/2015