Individual
AMILCAR J E CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
2000 OLD SPANISH TRL, SUITE 113, SLIDELL, LA 70458
(985) 646-0970
(985) 646-0971
Mailing address
1897 GAUSE BLVD WEST, UNIT 7661, SLIDELL, LA 70469-4108
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
03684R
LA
2085N0700X
Neuroradiology Physician
03684R
LA
208VP0000X
Pain Medicine Physician
Primary
03684R
LA
Other
Enumeration date
04/11/2007
Last updated
06/13/2018
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