Individual
DR. SAMUEL PAYTON GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 GRAVIER ST, ORLEANS PARISH CRIMINAL SHERIFF'S OFFICE, NEW ORLEANS, LA 70119-7330
(504) 827-8528
(504) 827-8859
Mailing address
2800 GRAVIER ST., ORLEANS PARISH CRIMINAL SHERIFF'S OFFICE, NEW ORLEANS, LA 70119
(504) 827-8528
(504) 827-8859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13204-R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1556921
—
LA
Enumeration date
02/20/2008
Last updated
02/20/2008
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