Individual
DR. JAMIE BOURGEOIS HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4608 HIGHWAY 1, RACELAND, LA 70394
(985) 537-6841
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD.201435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08189775
—
MS
05
—
1070165
—
LA
Enumeration date
11/16/2007
Last updated
12/17/2008
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