Organization
GARDEN DISTRICT TELEHEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY T GUM NP (MANAGING PARTNER/NURSE PRACTITIONER)
(225) 936-8990
Entity
Organization
Contact information
Practice address
119 FUSELIER RD, ARNAUDVILLE, LA 70512-6134
(225) 936-8990
Mailing address
PO BOX 618, ARNAUDVILLE, LA 70512-0618
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144871
—
LA
Enumeration date
04/03/2020
Last updated
08/03/2021
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