MEDICARE: ROSALIND ANNETTE CROPPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	207R00000X	Internal Medicine Physician	06941R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124243837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIND ANNETTE CROPPER MD

Provider Business Mailing Address
First Line	:	103 TERRY PKWY STE B
Second Line	:
City	:	TERRYTOWN
State	:	LA
Zip	:	70056-2522
Country	:	US
Telephone Number	:	504-352-2997
Fax Number	:

Provider Business Practice Location Address
First Line	:	11861 COURSEY BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4404
Country	:	US
Telephone Number	:	225-241-2328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	09/27/2019

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