CAPITAL CITY MEDICAL GROUP, LLC

GRETNA, LA
NPI1487084943
Doing Business AsPRIMARY CARE PLUS
Entity TypeOrganization
Authorized ContactPETER ALDEN KELLOGG
Associate General Counsel
504-681-8532
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RR0500X Internal Medicine, Rheumatology
213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date2013-11-20
Last Update Date2014-05-12
Business Address
CAPITAL CITY MEDICAL GROUP, LLC
120 MEADOWCREST ST SUITE 120
GRETNA, LA 70056-5255
Phone number: 504-620-5661
Mailing Address
CAPITAL CITY MEDICAL GROUP, LLC
3838 N CAUSEWAY BLVD SUITE 2200
METAIRIE, LA 70002-8194
Phone number: 504-681-8259