Individual
MARY M GIOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4405 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4957
(985) 893-8505
(985) 893-0093
Mailing address
4405 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4957
(985) 893-8505
(985) 893-0093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09818R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681849
—
LA
Enumeration date
11/30/2006
Last updated
07/08/2007
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