Organization
JEFFERSON OB GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE C MILLER MD (MANAGING PARTNER)
(504) 455-0004
Entity
Organization
Contact information
Practice address
4740 S I 10 SERVICE RD, STE 340, METAIRIE, LA 70001
(504) 455-0004
(504) 455-0097
Mailing address
4740 S I 10 SERVICE RD, STE 340, METAIRIE, LA 70001
(504) 455-0004
(504) 455-0097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
466270
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445576
—
LA
Enumeration date
05/09/2007
Last updated
08/22/2020
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