Organization
GEAUX 2 PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GIPSON (OWNER)
(985) 201-8985
Entity
Organization
Contact information
Practice address
181 COMMERCIAL SQUARE, SLIDELL, LA 70461-5419
(985) 201-8985
(985) 201-8987
Mailing address
181 COMMERCIAL SQUARE, SLIDELL, LA 70461-5419
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1183610
—
LA
Enumeration date
07/07/2008
Last updated
09/13/2011
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