Individual
DR. JOSEPH A. ST. LOUIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
010675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00062433B
—
GA
05
—
00062433D
—
GA
01
—
03625
COVENTRY PPO
GA
01
—
0808267
UHC
GA
01
—
1407
COVENTRY HMO
GA
01
—
294532
WELLCARE
GA
01
—
4266009
AETNA
GA
01
—
501899
AETNA HMO
GA
01
—
589554
BCBS
GA
01
—
693018
BCBS
GA
Enumeration date
06/30/2005
Last updated
12/17/2007
Update your record
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