Organization
UNIFIED MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVIS ROWAN (DIRECTOR OF OPERATIONS)
(504) 347-4688
Entity
Organization
Contact information
Practice address
6621 WESTBANK EXPY, MARRERO, LA 70072-2658
(504) 347-4688
(504) 347-4698
Mailing address
6621 WESTBANK EXPY, MARRERO, LA 70072-2658
(504) 347-4688
(504) 347-4698
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
472973
LA
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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