Individual
MEDA K COLVIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE S-750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786
Mailing address
1111 MEDICAL CENTER BLVD, STE S-750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
019520
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1976938
—
LA
Enumeration date
06/17/2006
Last updated
07/08/2007
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