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Individual

MRS. TAYLOR GANTT BECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
42078 VETERANS AVE, SUITE H, HAMMOND, LA 70403-1490
(985) 902-7770
(985) 902-7773
Mailing address
42078 VETERANS AVE, SUITE H, HAMMOND, LA 70403-1490
(985) 902-7770
(985) 902-7773

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200493
LA
363AS0400X
Surgical Physician Assistant
PA.200493
LA

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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