Provider Demographics
NPI:1639377468
Name:SAFFORD, NOEMIE M (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEMIE
Middle Name:M
Last Name:SAFFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22340 HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:GROSSE TETE
Mailing Address - State:LA
Mailing Address - Zip Code:70740-3621
Mailing Address - Country:US
Mailing Address - Phone:225-384-0099
Mailing Address - Fax:844-565-4291
Practice Address - Street 1:4830 S RIVER RD
Practice Address - Street 2:
Practice Address - City:PORT ALLEN
Practice Address - State:LA
Practice Address - Zip Code:70767-5917
Practice Address - Country:US
Practice Address - Phone:225-892-3923
Practice Address - Fax:225-223-6468
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2020-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.200988207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1074012Medicaid
LA1074012Medicaid