South Shore Medical Group Inc
South Shore Medical Group Inc is a Family Medicine Physician in Metairie, Louisiana. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4515 Shores Dr Ste 100Metairie, LA 70006-6808
Phone: (504) 885-0515
Fax: (504) 885-0517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1740591239 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andriy Matrofaylo — Ceo · (504) 885-0515 |
| NPI enumerated | June 29, 2010 |
| Last updated in NPPES | June 29, 2010 |
| Mailing address | 4515 Shores Dr, Suite 100, Metairie, LA 70006-6808 |
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