Grove, George Dudley
Grove, George Dudley is an sole proprietor health care provider with primary practice located at 1978 Industrial Blvd , Houma LA 70363-7055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Grove, George Dudley can be contacted via phone (985) 873-2200.Contact Information
Primary practice address
1978 Industrial Blvd
Houma LA 70363-7055
Phone: (985) 873-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.201344 | Louisiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD.201344 | Louisiana |
Profile Details
| NPI number | 1689889644 |
|---|---|
| LBN Legal business name | Grove, George Dudley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2007 |
| Last updated | Apr 4th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689889644 | NPPES |
| Louisiana | MEDICAID | 1215708 |
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