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Organization

WHITE COAT MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN WHITE (OWNER)
(985) 788-2221
Entity
Organization

Contact information

Practice address
736 GAUSE BLVD, SLIDELL, LA 70458-2840
(985) 788-2221
Mailing address
508 HERMITAGE CT, PEARL RIVER, LA 70452-3902

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/16/2024
Last updated
11/25/2024
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