Provider Demographics
NPI:1417919259
Name:EPPS, JOSEPH M (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:EPPS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 GAUSE BLVD # 75
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2939
Mailing Address - Country:US
Mailing Address - Phone:985-280-3609
Mailing Address - Fax:985-280-9651
Practice Address - Street 1:1051 GAUSE BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2951
Practice Address - Country:US
Practice Address - Phone:985-280-1900
Practice Address - Fax:985-280-1905
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD03947R207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1801020433OtherNPI SMH PHYSICIAN NETWORK
LA1174912Medicaid
LA1174912Medicaid
LA5K376Medicare PIN