Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 30960 | NC |
NPI | 1821004078 |
---|---|
Provider Name | Dr. Georgette Somjen |
First Address | Metairie, LA 70001-6717 |
Second Address | Metairie, LA 70001-6717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/07/2007 |