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Individual

JERRY WAYNE POUNDS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 VETERANS MEMORIAL BLVD, SUITE #404, METAIRIE, LA 70005-3028
(504) 899-1120
(504) 899-2432
Mailing address
111 VETERANS MEMORIAL BLVD, SUITE #404, METAIRIE, LA 70005-3028
(504) 899-1120
(504) 899-2432

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD.205282
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06838888
MS
05
2107399
LA
Enumeration date
03/19/2010
Last updated
02/28/2023
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