Individual
MARIE YOLENE FERVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 MEDICAL CENTER BLVD., HOSPITALIST DEPARTMENT, MARRERO, LA 70072
(504) 349-1656
(504) 349-1933
Mailing address
1101 MEDICAL CENTER BLVD., HOSPITALIST DEPARTMENT, MARRERO, LA 70072
(504) 349-1656
(504) 349-1933
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
28282
SC
207R00000X
Internal Medicine Physician
Primary
MD.206661
LA
208M00000X
Hospitalist Physician
055219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106224A
—
GA
05
—
003106224B
—
GA
05
—
129228
—
AL
05
—
130433
—
AL
05
—
282820
—
SC
01
—
52038519 003
BCBS-DH
GA
01
—
52038519002
BCBS-TMC
GA
01
—
581719867 002
BCBS-AMB
GA
01
—
P00992327
RR MEDICARE
—
Enumeration date
08/30/2006
Last updated
08/13/2015
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