Organization
UNITED STATES COAST GUARD
Active
Organization
UNITED STATES COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L ADAMS (HS3)
(918) 230-2220
Entity
Organization
Contact information
Practice address
13800 OLD GENTILLY RD, NEW ORLEANS, LA 70129-2218
(504) 253-6506
Mailing address
13800 OLD GENTILLY RD, NEW ORLEANS, LA 70129-2218
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1780742049
LA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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