Healthcare Provider Details

I. General information

NPI: 1700081247
Provider Name (Legal Business Name): EDWARD W VEILLON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOMANS WAY
BATON ROUGE LA
70817-5100
US

IV. Provider business mailing address

100 WOMANS WAY
BATON ROUGE LA
70817-5100
US

V. Phone/Fax

Practice location:
  • Phone: 225-924-8338
  • Fax:
Mailing address:
  • Phone: 225-924-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number18823
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD.201976
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number18823
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: