Healthcare Provider Details
I. General information
NPI: 1326180126
Provider Name (Legal Business Name): METROPOLITAN HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4550 NORTH BLVD SUITE 100
BATON ROUGE LA
70806-4013
US
IV. Provider business mailing address
4550 NORTH BLVD SUITE 100
BATON ROUGE LA
70806-4013
US
V. Phone/Fax
- Phone: 225-926-3343
- Fax: 225-926-3346
- Phone: 225-926-3343
- Fax: 225-926-3346
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
G.
HARVEY
JR.
Title or Position: PRESIDENT
Credential:
Phone: 504-821-2574