Individual
CEA CHENEA TILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 METAIRIE HEIGHTS AVE, METAIRIE, LA 70001-3036
(504) 264-7911
Mailing address
263 METAIRIE HEIGHTS AVE, METAIRIE, LA 70001-3036
(504) 264-7911
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD.203734
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09185577
—
LA
05
—
2120051
—
LA
Enumeration date
05/20/2010
Last updated
09/20/2012
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