Organization
MEDICAL CENTER OF GENTILLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA GAIL TIMPTON M.D. (CEO)
(504) 244-1991
Entity
Organization
Contact information
Practice address
7901 DOWNMAN RD, NEW ORLEANS, LA 70126-1200
(504) 244-1991
(504) 244-1984
Mailing address
5824 HAYNE BLVD, NEW ORLEANS, LA 70126-1344
(504) 244-1991
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
017776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357561
—
LA
Enumeration date
02/13/2011
Last updated
02/13/2011
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