Individual
EBONI G PRICE-HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-7508
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05339374
—
MS
05
—
1627577
—
LA
Enumeration date
10/04/2006
Last updated
12/17/2014
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