# JEFFERSON OB GYN ASSOCIATES

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

## Provider details

- **NPI number:** 1922212349
- **Authorized official:** JANE C MILLER MD (MANAGING PARTNER)
- **Authorized official phone:** (504) 455-0004

## Contact information

- **Practice address:** 4740 S I 10 SERVICE RD, STE 340, METAIRIE, LA 70001
- **Practice address phone:** (504) 455-0004
- **Practice address fax:** (504) 455-0097
- **Mailing address:** 4740 S I 10 SERVICE RD, STE 340, METAIRIE, LA 70001
- **Mailing address phone:** (504) 455-0004
- **Mailing address fax:** (504) 455-0097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 466270 | LA | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1445576 | — | LA |
