Organization
GULF COAST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RUSSELL (PRESIDENT)
(985) 502-6585
Entity
Organization
Contact information
Practice address
51 HOLMES BLVD STE A, TERRYTOWN, LA 70056-2592
(504) 263-5113
Mailing address
51 HOLMES BLVD STE A, TERRYTOWN, LA 70056-2592
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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