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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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1881023646
Entity Type Code : Organization
Provider Name (Legal Business Name) : BATON ROUGE GENERAL PHYSICIANS, INC
Provider Business Mailing Address
First Line : 8490 PICARDY AVE
Second Line : BLDG 200
City : BATON ROUGE
State : LA
Zip : 70809-3731
Country : US
Telephone Number : 225-237-1754
Fax Number : 225-237-1722
Provider Business Practice Location Address
First Line : 8333 GOODWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-7744
Country : US
Telephone Number : 225-272-0106
Fax Number :
Authorized Official
Title or Position : C.F.O.
Name : KENDALL JOHNSON
Credential :
Telephone Number : 225-237-1645
Provider Enumeration Date : 11/02/2013
Last Update Date : 12/26/2018

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Directions to “BATON ROUGE GENERAL PHYSICIANS, INC ” Practice Location

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