Organization
MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER
Active
Other names
MGA Gastrointestinal Diagnostic & Therapeutic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2633 NAPOLEON AVE, SUITE 707, NEW ORLEANS, LA 70115-6357
(504) 896-8680
(504) 896-8699
Mailing address
PO BOX 1187, MARRERO, LA 70073-1187
(504) 896-8680
(504) 896-8699
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1966339
—
LA
Enumeration date
11/19/2007
Last updated
12/19/2007
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