Healthcare Provider Details

I. General information

NPI: 1871537605
Provider Name (Legal Business Name): WOMANS ASSESSMENT CENTER GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9050 AIRLINE HIGHWAY
BATON ROUGE LA
70815-4103
US

IV. Provider business mailing address

9050 AIRLINE HIGHWAY
BATON ROUGE LA
70815-4103
US

V. Phone/Fax

Practice location:
  • Phone: 225-924-8189
  • Fax: 225-924-8762
Mailing address:
  • Phone: 225-924-8189
  • Fax: 225-924-8762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERI G FONTENOT
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential:
Phone: 225-927-1300