Organization
J. WILLIAM GROVES, JR., M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAM GROVES JR. M.D. (OWNER)
(337) 480-5530
Entity
Organization
Contact information
Practice address
1890 W GAUTHIER RD STE 130, LAKE CHARLES, LA 70605-7179
(337) 480-5530
(337) 480-5531
Mailing address
1890 W GAUTHIER RD STE 130, LAKE CHARLES, LA 70605-7179
(337) 480-5530
(337) 480-5531
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.201254
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014826
—
LA
Enumeration date
07/09/2012
Last updated
08/15/2022
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