Organization
CRESCENT CITY PEDIATRICS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA T. JOHNSTON M.D. (OWNER/MEMBER)
(504) 486-5151
Entity
Organization
Contact information
Practice address
320 N CARROLLTON AVE, SUITE 103, NEW ORLEANS, LA 70119-5144
(504) 486-5151
Mailing address
320 N CARROLLTON AVE, SUITE 103, NEW ORLEANS, LA 70119-5144
(504) 486-5151
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442518
—
LA
Enumeration date
09/20/2006
Last updated
08/22/2020
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