| Gerry G Provance, DC | |
|
2007 Clearview Pkwy, Metairie, LA 70001-2404 | |
| (504) 456-9296 | |
| (504) 456-9799 |
| Full Name | Gerry G Provance |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Sports Physician |
| Location | 2007 Clearview Pkwy, Metairie, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063555662 | NPI | - | NPPES |
| C8327 | Other | LA | BLUE CROSS ID |
| 1951340 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 414 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerry G Provance, DC 2007 Clearview Pkwy, Metairie, LA 70001-2404 Ph: (504) 456-9296 | Gerry G Provance, DC 2007 Clearview Pkwy, Metairie, LA 70001-2404 Ph: (504) 456-9296 |
Trudy Ann Raiford, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1908 Clearview Pkwy, Suite 103, Metairie, LA 70001 Phone: 504-888-1115 Fax: 504-888-8510 | |
Jeffrey Paul Vitenas, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2701 Airline Dr Ste E, Metairie, LA 70001 Phone: 504-323-4956 | |
Dr. Chloe Horwood-little, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3544 W Esplanade Ave S Ste 1, Metairie, LA 70002 Phone: 504-888-1185 | |
Dr. Lychelle Zeno, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3001 Division St Ste 202, Metairie, LA 70002 Phone: 504-262-8890 | |
Dr. Shawn Robert Smith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2709 Athania Pkwy, Metairie, LA 70002 Phone: 504-301-4231 Fax: 504-301-4253 | |
Southern Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 110 Rosa Ave, Metairie, LA 70005 Phone: 504-832-1426 Fax: 504-832-1426 |