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NPI Code Detail

MEDICARE: BATON ROUGE GENERAL PHYSICIANS, INC.

MEDICARE: BATON ROUGE GENERAL PHYSICIANS, INC.
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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY.007454-IRLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22030969OTHERPK

General Provider Information

NPI Number : 1467497685
Entity Type Code : Organization
Provider Name (Legal Business Name) : BATON ROUGE GENERAL PHYSICIANS, INC.
Provider Business Mailing Address
First Line : 8585 PICARDY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3748
Country : US
Telephone Number : 225-763-4692
Fax Number : 225-763-4818
Provider Business Practice Location Address
First Line : 8585 PICARDY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3748
Country : US
Telephone Number : 225-763-4692
Fax Number : 225-763-4818
Authorized Official
Title or Position : CFO
Name : KENDALL JOHNSON
Credential :
Telephone Number : 225-237-1645
Provider Enumeration Date : 06/19/2006
Last Update Date : 04/26/2022

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