Individual
DR. AMBER HOPE MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4540 SHEPHERD SQ, DIAMONDHEAD, MS 39525-3325
(228) 255-8216
(228) 255-8219
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21215
MS
207Q00000X
Family Medicine Physician
68571
MT
Other
Enumeration date
07/06/2009
Last updated
02/13/2020
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