Individual
DR. JAMES WILLIAM GROVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 W GAUTHIER RD, SUITE 130, LAKE CHARLES, LA 70605-7179
(337) 480-5530
(337) 480-5531
Mailing address
1890 W GAUTHIER RD, SUITE 130, LAKE CHARLES, LA 70605-7179
(337) 480-5530
(337) 480-5531
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
201254
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014826
—
LA
01
—
201254
MEDICAL LICENSE
LA
01
—
P00601494
RAILROAD MEDICARE
LA
Enumeration date
05/14/2007
Last updated
03/07/2023
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