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Individual

DR. JAMES ALFRED CHIVERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4933 WABASH ST, METAIRIE, LA 70001-1031
(504) 780-2766
(504) 218-4607
Mailing address
4933 WABASH ST, METAIRIE, LA 70001-1031
(504) 780-2766
(504) 218-4607

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD.022226
LA
208D00000X
General Practice Physician
LA022226
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1496367
LA
Enumeration date
04/16/2007
Last updated
07/21/2022
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