Organization
GENESIS PEDIATRICS, LLC
Active
Other names
Genesis Pediatrics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAELANDA SMITH MD (CEO)
(214) 316-2924
Entity
Organization
Contact information
Practice address
5860 WINCHESTER PARK DR, NEW ORLEANS, LA 70128-2706
(214) 316-2924
Mailing address
5860 WINCHESTER PARK DR, NEW ORLEANS, LA 70128-2706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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