Healthcare Provider Details

I. General information

NPI: 1164445003
Provider Name (Legal Business Name): CAROLINE LESLIE BARTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 ST. CHARLES AVENUE, 4TH FLOOR LSU NEUROLOGY CLINIC
NEW ORLEANS LA
70115
US

IV. Provider business mailing address

1542 TULANE AVE FL 7
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-412-1517
  • Fax: 504-412-1518
Mailing address:
  • Phone: 504-568-4080
  • Fax: 504-568-7130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number13604R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: