Individual
HERBERT LEE MUNCIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 409, KENNER, LA 70065-2489
(504) 471-2750
(504) 471-2764
Mailing address
3541 MOUNT PROSPECT CIR, RALEIGH, NC 27614-7588
(410) 591-8999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200065
LA
207Q00000X
Family Medicine Physician
Primary
200065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624233
—
LA
Enumeration date
06/18/2006
Last updated
11/03/2014
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