Jefferson Medical Group, LLC

NPI #1912962150 in Metairie, Louisiana

Provider Information

NPI Number: 1912962150
Entity Type: Organization
Organization Name: Jefferson Medical Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4228 HOUMA BLVD
Address 2: STE. 600D
City: Metairie
State: Louisiana
ZIP Code: 70006-3000
Phone: (504) 885-3003

Authorized Official

Name: BRADLEY T. COLLINS, MD
Title: PRESIDENT
Phone: (504) 342-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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