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Individual

DR. ELLSWORTH JACK REMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
JD, MD

Contact information

Practice address
16033 DOCTORS BLVD, HAMMOND, LA 70403-1479
(985) 230-1860
Mailing address
16033 DOCTORS BLVD, HAMMOND, LA 70403-1479
(985) 230-1860

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101051340
VA
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
020915
LA
208D00000X
General Practice Physician
0101051340
VA

Other

Enumeration date
09/03/2006
Last updated
02/06/2012
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