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NPI Code Detail

MEDICARE: MS. PEGGY ANN PALMER

MEDICARE: MS. PEGGY ANN PALMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle006342540LA

General Provider Information

NPI Number : 1215619093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PEGGY ANN PALMER
Provider Business Mailing Address
First Line : 3250 COURTLAND DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70814-2804
Country : US
Telephone Number : 225-405-4741
Fax Number :
Provider Business Practice Location Address
First Line : 3250 COURTLAND DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70814-2804
Country : US
Telephone Number : 225-405-4741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 08/02/2023

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Directions to “ MS. PEGGY ANN PALMER ” Practice Location

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