Individual
JIMMIE EDGARD COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD.201129
LA
207LP3000X
Pediatric Anesthesiology Physician
MD201129
LA
207LP3000X
Pediatric Anesthesiology Physician
TL1906
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09439898
—
MS
05
—
1060607
—
LA
Enumeration date
05/02/2007
Last updated
06/10/2010
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