Individual
DR. JERALD LUKE TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(504) 592-6600
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 380-4072
(931) 490-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2541
TN
207R00000X
Internal Medicine Physician
Primary
DO.000200
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041751
—
LA
05
—
3710089
—
TN
Enumeration date
05/21/2008
Last updated
08/12/2022
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