Individual
MS. WANDA GAIL TIMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5824 HAYNE BLVD, 5980 WINCHESTER PARK DRIVE, NEW ORLEANS, LA 70126-1344
(504) 242-4896
(504) 242-4869
Mailing address
5824 HAYNE BLVD, 5980 WINCHESTER PARK DRIVE, NEW ORLEANS, LA 70126-1344
(504) 242-4896
(504) 242-4869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357561
—
LA
Enumeration date
01/03/2007
Last updated
09/08/2009
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