Organization
SUPERIOR MEDICINE GROUP LLC
Active
Other names
Westbank Medical & Walk-in Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE TILTON M.D. (PARTNER/ OWNER)
(504) 495-3572
Entity
Organization
Contact information
Practice address
6621 WESTBANK EXPY, MARRERO, LA 70072-2669
(504) 495-3572
Mailing address
6621 WESTBANK EXPY, MARRERO, LA 70072-2669
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111906
—
LA
Enumeration date
11/05/2013
Last updated
11/14/2013
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