Individual
DR. MIGNONNE C. MARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1224 SAINT CHARLES AVE, SUITE 1-C, NEW ORLEANS, LA 70130-4334
(504) 301-1670
(504) 309-4413
Mailing address
1224 SAINT CHARLES AVE, SUITE 1-C, NEW ORLEANS, LA 70130-4334
(504) 301-1670
(504) 309-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
024324
LA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
024324
LA
Other
Enumeration date
03/01/2007
Last updated
08/03/2013
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