Healthcare Provider Details

I. General information

NPI: 1649279969
Provider Name (Legal Business Name): MARSHALL S ST. AMANT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
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: 225-922-3745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number017767
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: