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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689889644 NPPES
Louisiana MEDICAID 1215708

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