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Individual

AUTUMN C CHISENHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4500 CLEARVIEW PKWY, METAIRIE, LA 70006-2371
(504) 842-3900
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(252) 937-3106

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2022-01170
NC
208000000X
Pediatrics Physician
Primary
342566
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427519149
NC
Enumeration date
03/26/2019
Last updated
10/29/2024
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