Individual
DR. GEORGE DUDLEY GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2200
Mailing address
330 S DIAMOND ST, NEW ORLEANS, LA 70130-3808
(504) 432-7093
(985) 858-2990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.201344
LA
2084P0800X
Psychiatry Physician
Primary
MD.201344
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215708
—
LA
Enumeration date
05/13/2007
Last updated
04/04/2018
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